Individual provider · Type 1 NPI

Mary Souvanna

Other Technician · Benton, AR

NPI number 1750670485 Active

Practice location

3214 Winchester
Benton, AR 72015-2929

Call (501) 326-6160 Map

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1750670485

Mary Souvanna's National Provider Identifier is 1750670485, issued on Apr 4, 2011. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Benton, AR. The record was last updated on Apr 4, 2011.