MRS. NIDIA PRAVONGVIENGKHAM, M.S.
Case Manager/Care Coordinator
Active
Individual
NPI: 1235384066
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | No | IMF 54676 (CA) |
| Case Manager/Care Coordinator | 171M00000X | Yes | - |
Frequently Asked Questions
NPI 1235384066 is the National Provider Identifier for MRS. NIDIA PRAVONGVIENGKHAM, M.S., a Case Manager/Care Coordinator provider located in Moreno Valley, CA. This NPI was enumerated on November 20, 2008.
MRS. NIDIA PRAVONGVIENGKHAM, M.S. practices at 13800 HEACOCK ST STE C236, Moreno Valley, CA 92553.
Quick Facts
- NPI
- 1235384066
- Type
- Individual
- Enumerated
- Nov 20, 2008
- Last Updated
- Nov 14, 2012
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