Davon Phomvongsa
NPI #1538321534 in Alpine, California
Provider Information
- NPI Number
- 1538321534
- Entity Type
- Individual
- Name
- Davon Phomvongsa
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Vocational Nurse
- Enumeration Date
- Jun 30, 2008
- Last Updated
- Jun 30, 2008
Practice Location
- Address
- 2122 CORTE PLATA ESPUELA
- City
- Alpine
- State
- California
- ZIP Code
- 91901-3184
- Phone
- (619) 659-0966
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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