Search › California › 172V00000X
Vickie Amkhamavong
NPI 1023285970 · on the registry since 2008
Practice
- Address
- 4410 N Pershing Ave Ste C1
Stockton, CA 95207 - Phone
- (209) 323-5338
- Organisation at this address
- Elan Senior Living
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California