Davon Phomvongsa Valid NPI

Individual provider · Licensed Vocational Nurse · Alpine, CA

NPI

1538321534

Type

Individual (Type 1)

Primary specialty

Licensed Vocational Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164X00000X

License number

VN185979 (CA)

Sex

Female

Sole proprietor

Yes

Enumerated

2008-06-30

Last updated

2008-06-30