VICKIE VIENKHONG AMKHAMAVONG

STOCKTON, CA
NPI1023285970
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2008-05-09
Last Update Date2023-12-01
Business Address
VICKIE VIENKHONG AMKHAMAVONG
4410 N PERSHING AVE STE C1
STOCKTON, CA 95207-6960
Phone number: 209-323-5338
Mailing Address
VICKIE VIENKHONG AMKHAMAVONG
4410 N. PERSHING AVE CL
STOCKTON, CA 95207
Phone number: 209-403-6789