IndividualActive
Mary Souvanna
NPI 1750670485 · Other Technician · Benton, AR
Provider details
- NPI number
- 1750670485
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
3214 Winchester
Benton, AR 72015-2929
Phone: (501) 326-6160
Approximate (ZIP-level) locationGet directions
Mailing address
3214 Winchester
Benton, AR 72015-2929
Registry dates
- Enumerated
- 2011-04-04
- Last updated
- 2011-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.