NPI 1750670485

Mary Souvanna

Practitioner Other Technician Benton, AR

Practice location

Address: 3214 Winchester, Benton, AR 72015-2929
Phone: (501) 326-6160

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Arkansas →

Registry record

NPI: 1750670485
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Apr 2011
Record last updated: 4 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.