KHANTALEE SOUVANNAVONG
Nursing at Country Ln, Rochester, NY

License number
New York 286904-1
Category
Nursing
Type
Licensed Practical Nurse
Address
Address
185 Country Ln, Rochester, NY 14626
Phone
(585) 749-0292
National Provider ID: 1487042560
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Khantalee Souvannavong, age 55
185 Country Ln, Rochester, NY 14626
(585) 227-2166
Khantalee Souvannavong
185 Country Ln, Rochester, NY 14626
(585) 227-2166

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