MEGAN PHORNSAVANH

STOCKTON, CA
NPI1912233248
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  244990)
Enumeration Date2009-10-21
Last Update Date2023-06-26
Business Address
MEGAN PHORNSAVANH
1111 N EL DORADO ST
STOCKTON, CA 95202-1305
Phone number: 209-938-0228
Mailing Address
MEGAN PHORNSAVANH
1535 CAPITOLA CIR
STOCKTON, CA 95206-5818
Phone number: 209-244-5825