| Phonmany Phengphavong, | |
|
1688 N Perris Blvd, Perris, CA 92571-4709 | |
| (951) 443-2200 | |
| Not Available |
| Full Name | Phonmany Phengphavong |
|---|---|
| Gender | Female |
| Speciality | Licensed Vocational Nurse |
| Location | 1688 N Perris Blvd, Perris, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043849847 | NPI | - | NPPES |
| OTHER | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 287603 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Phonmany Phengphavong, 2982 Bautista St, Riverside, CA 92506-4293 Ph: (951) 224-2620 | Phonmany Phengphavong, 1688 N Perris Blvd, Perris, CA 92571-4709 Ph: (951) 443-2200 |
Martin Flores, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 2055 N Perris Blvd Ste C, Perris, CA 92571 Phone: 951-345-3239 | |
Stasha Leigh Blackwell, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 2560 N Perris Blvd Ste N1, Perris, CA 92571 Phone: 951-940-6755 | |
Julia Fanua, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 85 Ramona Expy Ste 13, Perris, CA 92571 Phone: 951-349-4195 | |
Dorotea Bowman, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 85 Ramona Expy Ste 1-4, Perris, CA 92571 Phone: 951-349-4195 Fax: 951-490-0123 | |
Maureen L Morgan-baldwin, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 3656 Ginger St Ste B-1, Perris, CA 92571 Phone: 310-490-4753 Fax: 951-200-4761 | |
Janneth Harry, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 85 Ramona Expy Ste 1, Perris, CA 92571 Phone: 951-349-4195 |