DAOPHASOUK CHANNITA MARKOVICH

HUNTINGTON PARK, CA
NPI1295301638
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95017348)
Enumeration Date2021-05-27
Last Update Date2024-05-12
Business Address
DAOPHASOUK CHANNITA MARKOVICH FNP
6816 PACIFIC BLVD STE 210
HUNTINGTON PARK, CA 90255-4654
Phone number: 714-779-8329
Mailing Address
DAOPHASOUK CHANNITA MARKOVICH FNP
6816 PACIFIC BLVD STE 210
HUNTINGTON PARK, CA 90255-4654
Phone number:
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