Kandavin Thong
NPI #1609457753 in Banning, California
Provider Information
- NPI Number
- 1609457753
- Entity Type
- Individual
- Name
- Kandavin Thong
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Apr 20, 2021
- Last Updated
- Feb 27, 2023
Practice Location
- Address
- 6109 W RAMSEY ST
- City
- Banning
- State
- California
- ZIP Code
- 92220-3051
- Phone
- (951) 845-0313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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