SITHA LEE PHANMANIVONG

ANCHORAGE, AK
NPI1518508290
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: AK  NURR37958)
Enumeration Date2019-10-03
Last Update Date2019-10-03
Business Address
SITHA LEE PHANMANIVONG RN
670 W FIREWEED LN STE 160
ANCHORAGE, AK 99503-2561
Phone number: 907-770-0862
Mailing Address
SITHA LEE PHANMANIVONG RN
6610 DESIREE LOOP
ANCHORAGE, AK 99507-2229
Phone number: 907-947-3354