LISA VITCHAYANONDA

LOMA LINDA, CA
NPI1740371590
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  RN370120)
Enumeration Date2006-09-27
Last Update Date2007-07-08
Business Address
-- LISA VITCHAYANONDA FNP
11201 BENTON ST
LOMA LINDA, CA 92357-1000
Phone number: 909-825-7084
Mailing Address
-- LISA VITCHAYANONDA FNP
1032 MISSION GROVE PKWY N
RIVERSIDE, CA 92506-6224
Phone number: 951-789-9114