Individual
MRS. KIM LUONG CHHOUR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1020 S MAIN ST, SALT LAKE CITY, UT 84101-3176
(801) 536-6500
Mailing address
3051 EL CAJON DR, WEST VALLEY CITY, UT 84119-1657
(801) 541-8072
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
56800883102
UT
Other
Enumeration date
01/12/2006
Last updated
07/08/2007
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