Souvanna, Mary

Souvanna, Mary is an sole proprietor health care provider with primary practice located at 3214 Winchester , Benton AR 72015-2929. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Souvanna, Mary can be contacted via phone (501) 326-6160.

Contact Information

Primary practice address
3214 Winchester Benton AR 72015-2929
Phone: (501) 326-6160
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1750670485
LBN Legal business name Souvanna, Mary
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2011
Last updated Apr 4th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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