DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SANTISOUK SISAVATDY

Active Sole Proprietor

SANTISOUK SISAVATDY is a Case Manager healthcare provider located in BURIEN, Washington. NPI 1649745290 is currently active in the NPPES registry. Verify at CMS.

Case Manager · BURIEN, WA

Registration Details

NPI Number
1649745290
Provider Type
Individual
Gender
Male
NPI Issued
Oct 10, 2018 (7.8252842539948 yrs)
Last Updated
Oct 17, 2018
Sole Proprietor
Yes

Practice Information

Address
1210 SW 136TH ST
BURIEN, WA, 981661214
Browse WA providers · Browse ZIP 98166
Phone
2069337268
Primary Specialty
Case Manager
171M00000X

Other Case Manager Providers in BURIEN, WA

Name Credential NPI
ASMA AHMED 1538519590
LARRY ROBERT LIECHTY 1730654286
MAITAI TIUMALU 1336614635
PATRICIA J WEISMAN 1487129771
LUCAS NEIL FORSTIE AACR 1073089157
EVERLEAN WOODS 1790251213
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.