Individual
SOVANNDATH BRANDAN CHEAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 E ORANGEWOOD AVE, ANAHEIM, CA 92805-6807
(800) 249-1266
Mailing address
1301 E ORANGEWOOD AVE, ANAHEIM, CA 92805-6807
(800) 249-1266
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/01/2019
Last updated
09/14/2021
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