Anna Ly Pathammavong

NPI 1447684253 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1447684253
Gender Female
Enumeration Date 08/28/2013
Last Updated 08/28/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
1626 LINDEN AVE
LONG BEACH CA, 90813-1918, US
Phone (562) 453-6860
Fax
Business Location
1626 LINDEN AVE
LONG BEACH CA, 90813-1918, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State California
License Number 39020000000
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According to our database, Miss Anna Ly Pathammavong NPI is 1447684253, taxonomy code is 390200000X and license number is 39020000000, license state is located at California. Anna Ly Pathammavong physically located at 1626 Linden Ave, Long Beach CA, 90813-1918. NPI Number Anna Ly Pathammavong has the Individual type.

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1447684253 NPI number is provided on an as is basis without warranty of any kind. 1447684253 is maintained by the National Plan & Provider Enumeration System. The contents of Anna Ly Pathammavong are for informational purposes only.