PHONMANY PHENGPHAVONG

PERRIS, CA
NPI1043849847
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  287603)
Enumeration Date2020-04-03
Last Update Date2020-04-03
Business Address
PHONMANY PHENGPHAVONG
1688 N PERRIS BLVD
PERRIS, CA 92571-4709
Phone number: 951-443-2200
Mailing Address
PHONMANY PHENGPHAVONG
2982 BAUTISTA ST
RIVERSIDE, CA 92506-4293
Phone number: 951-224-2620
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