JI EUN VONGPHOE

RANCHO CUCAMONGA, CA
NPI1962034199
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: CA  NP95010302)
Enumeration Date2020-02-05
Last Update Date2020-02-05
Business Address
JI EUN VONGPHOE
12341 ALAMO DR
RANCHO CUCAMONGA, CA 91739-2290
Phone number: 323-829-5485
Mailing Address
JI EUN VONGPHOE
12341 ALAMO DR
RANCHO CUCAMONGA, CA 91739-2290
Phone number: 323-829-5485