AMY VONGVILATH LANE

HUNTERSVILLE, NC
NPI1477149730
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NC  5013901)
Enumeration Date2020-12-21
Last Update Date2020-12-21
Business Address
AMY VONGVILATH LANE F-NP
13808 PROFESSIONAL CENTER DR
HUNTERSVILLE, NC 28078-7948
Phone number: 704-377-0246
Mailing Address
AMY VONGVILATH LANE F-NP
13808 PROFESSIONAL CENTER DR
HUNTERSVILLE, NC 28078-7948
Phone number: 704-377-0246
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