Jaqueline Phomsouvandara

NPI #1619798022 in Laughlin, Nevada

Provider Information

NPI Number
1619798022
Entity Type
Individual
Name
Jaqueline Phomsouvandara
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse's Aide
Enumeration Date
Oct 18, 2024
Last Updated
Oct 18, 2024

Practice Location

Address
3100 S NEEDLES HWY STE 600
State
Nevada
ZIP Code
89029-0815
Phone
(801) 485-6166

Specialties & Taxonomy Codes

Specialty
Nurse's Aide

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