Individual
VIEGOUN SOUKHAVONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1301 SUMMIT ST, MARSHALLTOWN, IA 50158-5484
(641) 758-1580
Mailing address
1301 SUMMIT ST, MARSHALLTOWN, IA 50158-5484
(641) 758-1580
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
117614
IA
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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