KHAM PHONESAVANH

SCOTTSDALE, AZ
NPI1487033841
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AZ  LP040605)
Enumeration Date2015-05-19
Last Update Date2015-05-19
Business Address
-- KHAM PHONESAVANH LPN
617 N SCOTTSDALE RD SUITE D
SCOTTSDALE, AZ 85257-4234
Phone number: 480-990-3720
Mailing Address
-- KHAM PHONESAVANH LPN
617 N SCOTTSDALE RD SUITE D
SCOTTSDALE, AZ 85257-4234
Phone number:
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