TOMMY PANYANOUVONG
Peer Specialist
Active
Individual
NPI: 1407126469
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Adult Companion | 372600000X | No | MPSS-IUXREV (CA) |
| Peer Specialist | 175T00000X | Yes | MPSS-IUXREV (CA) |
Frequently Asked Questions
NPI 1407126469 is the National Provider Identifier for TOMMY PANYANOUVONG, a Peer Specialist provider located in Modesto, CA. This NPI was enumerated on January 9, 2012.
TOMMY PANYANOUVONG practices at 1300 PAYNE AVE, Modesto, CA 95351.
Quick Facts
- NPI
- 1407126469
- Type
- Individual
- Enumerated
- Jan 9, 2012
- Last Updated
- May 21, 2025
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