DOUANGCHAY JUDY PHANGRATH

RIVERSIDE, CA
NPI1902397045
Other NameJUDY PHANGRATH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95009072)
Enumeration Date2018-05-24
Last Update Date2021-06-11
Business Address
DOUANGCHAY JUDY PHANGRATH FNP
4361 LATHAM ST STE 270
RIVERSIDE, CA 92501-4332
Phone number: 559-285-5946
Mailing Address
DOUANGCHAY JUDY PHANGRATH FNP
7197 W SCOTT AVE
FRESNO, CA 93723-9397
Phone number:
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