Phonmany Phengphavong
Phonmany Phengphavong is a Licensed Vocational Nurse in Perris, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
1688 N Perris BlvdPerris, CA 92571-4709
Phone: (951) 443-2200
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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 287603 (CA) |
|---|
Record details
| NPI number | 1043849847 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 3, 2020 |
| Last updated in NPPES | April 3, 2020 |
| Certification date | April 3, 2020 |
| Mailing address | 2982 Bautista St, Riverside, CA 92506-4293 |
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