MONTY VYRAT SIPHANH

FRESNO, CA
NPI1841913852
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  VN720502)
Enumeration Date2022-09-23
Last Update Date2023-11-21
Business Address
MONTY VYRAT SIPHANH
3636 N 1ST ST STE 162, 124, 112
FRESNO, CA 93726-6869
Phone number: 559-476-2166
Mailing Address
MONTY VYRAT SIPHANH
3636 N 1ST ST STE 162
FRESNO, CA 93726-6869
Phone number: 559-476-2166