LISA PHETCHAMPHONE

CERES, CA
NPI1164167136
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  713585)
Enumeration Date2022-05-03
Last Update Date2022-05-03
Business Address
LISA PHETCHAMPHONE
1768 MITCHELL RD
CERES, CA 95307-2156
Phone number: 209-353-4838
Mailing Address
LISA PHETCHAMPHONE
1768 MITCHELL RD
CERES, CA 95307-2156
Phone number: 209-353-4838
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