Individual
MR. SOMCHAY BOB XAYASOUNTHONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 NEVIN AVE, RICHMOND, CA 94801-3143
(510) 307-1500
Mailing address
109 RED CLOVER WAY, AMERICAN CANYON, CA 94503-3115
(707) 208-5183
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
30410
CA
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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