ANNA BOUTTAVONG

OAKLAND, CA
NPI1144965138
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  95209212)
Enumeration Date2022-05-03
Last Update Date2022-05-03
Business Address
ANNA BOUTTAVONG RN
2633 E 27TH ST
OAKLAND, CA 94601-1912
Phone number: 510-535-5115
Mailing Address
ANNA BOUTTAVONG RN
2600 STOCKTON BLVD
SACRAMENTO, CA 95817-2210
Phone number: 916-520-2785
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