Vila Phoulavan, PA-C

NPI #1184705212 in Berkeley, California

Provider Information

NPI Number
1184705212
Entity Type
Individual
Name
Vila Phoulavan, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Oct 17, 2006
Last Updated
Oct 30, 2024

Practice Location

Address
2500 MILVIA ST
ZIP Code
94704-2636
Phone
(510) 204-5514

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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