CHANNE BUNTHUNG

EL SEGUNDO, CA
NPI1669014866
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95012449)
Enumeration Date2019-10-09
Last Update Date2021-11-30
Business Address
CHANNE BUNTHUNG FNP-C
390 N PACIFIC COAST HWY
EL SEGUNDO, CA 90245-4475
Phone number: 562-606-9165
Mailing Address
CHANNE BUNTHUNG FNP-C
500 AVENUE G APT 3
REDONDO BEACH, CA 90277-6006
Phone number: 562-606-9165