Johnny Vongvilay
NPI #1740090224 in Pasco, Washington
Provider Information
- NPI Number
- 1740090224
- Entity Type
- Individual
- Name
- Johnny Vongvilay
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Jan 8, 2025
- Last Updated
- Jan 8, 2025
Practice Location
- Address
- 1600 N 20TH AVE STE A
- City
- Pasco
- State
- Washington
- ZIP Code
- 99301-3376
- Phone
- (509) 537-3025
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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