JAQUELINE PHOMSOUVANDARA

Nurse's Aide

Active Individual
NPI: 1619798022

Practice Address

3100 S NEEDLES HWY STE 600
Laughlin, NV 89029

Phone: (801) 485-6166

Specialties

Specialty Code Primary License
Nurse's Aide 376K00000X Yes -

Frequently Asked Questions

NPI 1619798022 is the National Provider Identifier for JAQUELINE PHOMSOUVANDARA, a Nurse's Aide provider located in Laughlin, NV. This NPI was enumerated on October 18, 2024.
JAQUELINE PHOMSOUVANDARA practices at 3100 S NEEDLES HWY STE 600, Laughlin, NV 89029.

Quick Facts

NPI
1619798022
Type
Individual
Enumerated
Oct 18, 2024
Last Updated
Oct 18, 2024

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