KELLY KHAMKONGSAY

PANORAMA CITY, CA
NPI1245828672
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95015584)
Enumeration Date2020-12-31
Last Update Date2020-12-31
Business Address
KELLY KHAMKONGSAY
9064 VAN NUYS BLVD
PANORAMA CITY, CA 91402-1813
Phone number: 818-352-8333
Mailing Address
KELLY KHAMKONGSAY
9064 VAN NUYS BLVD
PANORAMA CITY, CA 91402-1813
Phone number: 818-352-8333
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