Most Relevant Information
Provider Data
| NPI Number: | 1003469545 |
| Provider Name: | KATHY SOUMOUNTHA |
| Entity Type: | Individual |
| Taxonomy Code: | 310400000X |
| Specialty: | Assisted Living Facility |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/23/2019 |
| Last Updated: | 07/23/2019 |
Provider Practice Location
427 CABO CT
OCEANSIDE
CA
920587997
Practice Location Phone/Fax
| Phone: | 7044889659 |
| Fax: |
Provider Mailing Location
427 CABO CT
OCEANSIDE
CA
920587997
Provider Mailing Phone/Fax
| Phone: | 7044889659 |
| Fax: |