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Search › California › 247100000X

Souk Luangsrinhotha

NPI 1972090652 · on the registry since 2018 · sole proprietor

Practice

Address
5021 Rosso Ct
Salida, CA 95368
Phone
(209) 855-6900
Organisation at this address
Modesto Mobile Imaging Services
Souk Luangsrinhotha Modesto Mobile Imaging Services
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
247100000X
247100000X
Also registered as
2471S1302X
Sex
Female
Record last updated
2019-09-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California