Ly Kong Pheng Jalao
Ly Kong Pheng Jalao is a Primary Care Nurse Practitioner in Sacramento, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2018
Practice location Address checks out
2200 Del Paso BlvdSacramento, CA 95815-3102
Phone: (916) 642-1890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence NP95009751 (CA) |
|---|
Record details
| NPI number | 1952884124 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 12, 2018 |
| Last updated in NPPES | September 12, 2018 |
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