Villa Phanvong
Villa Phanvong is a Rehabilitation Practitioner in Fresno, California. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
2171 N Fine AveFresno, CA 93727-1519
Phone: (559) 455-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1780746537 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 15, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 2171 N Fine Ave, Fresno, CA 93727-1519 |
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