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1740371590
LISA VITCHAYANONDA
LOMA LINDA, CA
NPI
1740371590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA RN370120)
Enumeration Date
2006-09-27
Last Update Date
2007-07-08
Business Address
-- LISA VITCHAYANONDA FNP
11201 BENTON ST
LOMA LINDA, CA 92357-1000
Phone number: 909-825-7084
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Mailing Address
-- LISA VITCHAYANONDA FNP
1032 MISSION GROVE PKWY N
RIVERSIDE, CA 92506-6224
Phone number: 951-789-9114
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