Vickie Vienkhong Amkhamavong

NPI #1023285970 in Stockton, California

Provider Information

NPI Number
1023285970
Entity Type
Individual
Name
Vickie Vienkhong Amkhamavong
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Community Health Worker
Enumeration Date
May 9, 2008
Last Updated
Dec 1, 2023

Practice Location

Address
4410 N PERSHING AVE STE C1
ZIP Code
95207-6960
Phone
(209) 323-5338

Specialties & Taxonomy Codes

Specialty
Community Health Worker

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