ESAMOU PHONGSA-CHU

SANTA ROSA, CA
NPI1689756850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  13350)
Enumeration Date2006-10-19
Last Update Date2007-07-08
Business Address
-- ESAMOU PHONGSA-CHU FNP
751 LOMBARDI CT SUITE A
SANTA ROSA, CA 95407-6793
Phone number: 707-547-2266
Mailing Address
-- ESAMOU PHONGSA-CHU FNP
751 LOMBARDI CT SUITE A
SANTA ROSA, CA 95407-6793
Phone number: 707-547-2266
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