Supavinee Phanngoen
Supavinee Phanngoen is a Community/Behavioral Health Agency in Washington, District of Columbia. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
2811 Pennsylvania Ave SE # LLWashington, DC 20020-3865
Phone: (202) 894-6811
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Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1679276380 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 22, 2023 |
| Last updated in NPPES | March 22, 2023 |
| Certification date | March 22, 2023 |
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