VILLA PHANVONG
Rehabilitation Practitioner
Active
Individual
NPI: 1780746537
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Yes | - |
Frequently Asked Questions
NPI 1780746537 is the National Provider Identifier for VILLA PHANVONG, a Rehabilitation Practitioner provider located in Fresno, CA. This NPI was enumerated on December 15, 2006.
VILLA PHANVONG practices at 2171 N FINE AVE, Fresno, CA 93727.
Quick Facts
- NPI
- 1780746537
- Type
- Individual
- Enumerated
- Dec 15, 2006
- Last Updated
- Jul 8, 2007
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