Individual
SOUK LUANGSRINHOTHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5021 ROSSO CT, SALIDA, CA 95368-9066
(209) 855-6900
Mailing address
5021 ROSSO CT, SALIDA, CA 95368-9066
(209) 855-6900
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
—
—
2471S1302X
Sonography Radiologic Technologist
—
—
Other
Enumeration date
04/18/2018
Last updated
09/13/2019
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