MANILATH VONGSAVATH

SAN DIEGO, CA
NPI1144700071
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy227800000X Respiratory Therapist, Certified
(Licence: CA  25657)
Enumeration Date2018-08-20
Last Update Date2018-08-20
Business Address
MANILATH VONGSAVATH RCP, RT
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-5019
Mailing Address
MANILATH VONGSAVATH RCP, RT
1145 CAMINO DEL REY
CHULA VISTA, CA 91910-7056
Phone number: 619-621-5311