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Somchay Bob Xayasounthone

Respiratory Therapist, Registered in Richmond, CA. Individual provider (NPI-1).

NPI number1982161071
StatusActive
Last updated in NPPESFeb 25, 2019

Details

NPI
1982161071
Entity type
Individual (NPI-1)
Name
Mr. Somchay Bob Xayasounthone
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 25, 2019
Last updated
Feb 25, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
227900000X Respiratory Therapist, Registered30410CAYes

Practice location

901 Nevin Ave
Richmond, CA 94801-3143

Phone 510-307-1500

Mailing address

109 Red Clover Way
American Canyon, CA 94503-3115

Phone 707-208-5183

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