Lyshawn Xatiy Phommakhoth
Lyshawn Xatiy Phommakhoth is a Physician Assistant in Sacramento, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
8120 Timberlake Way Ste 108Sacramento, CA 95823-5413
Phone: (916) 252-5000
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 64438 (CA) |
|---|
Record details
| NPI number | 1306627260 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 6, 2023 |
| Last updated in NPPES | August 7, 2024 |
| Certification date | August 7, 2024 |
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