SearchCaliforniaPeer Specialist

Tommy Panyanouvong

NPI 1407126469 · on the registry since 2012

Practice

Address
1300 Payne Ave
Modesto, CA 95351
Phone
(209) 541-0662

Registry record

Primary taxonomy
Peer Specialist
175T00000X
Also registered as
Adult Companion
Adult Companion
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-21

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