Search › Iowa › 374U00000X
Southone Phrathany
NPI 1700326600 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2616 Se 18th St
Des Moines, IA 50320 - Phone
- (515) 868-7405
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-02-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa