Lisa Phetchamphone
Lisa Phetchamphone is a Licensed Vocational Nurse in Ceres, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
1768 Mitchell RdCeres, CA 95307-2156
Phone: (209) 353-4838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Vocational Nurse (primary) | Taxonomy 164X00000X · Licence 713585 (CA) |
|---|
Record details
| NPI number | 1164167136 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 3, 2022 |
| Last updated in NPPES | May 3, 2022 |
| Certification date | May 3, 2022 |
| Mailing address | 1768 Mitchell Rd, Ceres, CA 95307-2156 |
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