MRS. Nidia Delsy Pravongviengkham, M.S.
NPI #1235384066 in Moreno Valley, California
Provider Information
- NPI Number
- 1235384066
- Entity Type
- Individual
- Name
- MRS. Nidia Delsy Pravongviengkham, M.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- M.S.
- Enumeration Date
- Nov 20, 2008
- Last Updated
- Nov 14, 2012
Practice Location
- Address
- 13800 HEACOCK ST STE C236
- City
- Moreno Valley
- State
- California
- ZIP Code
- 92553-3364
- Phone
- (951) 653-0819
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
| Case Manager/Care Coordinator |
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