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Vongphachanh Phanhdara
NPI 1790959583 · on the registry since 2008 · sole proprietor
Practice
- Address
- 1310 M St
Fresno, CA 93721 - Phone
- (559) 264-2700
- Organisation at this address
- Medmark1
Medmark Treatment Centers, Inc.
Medmark Treatment Center Fresno
Medmark Treatment Centers - Fresno West, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 89
Registry record
- Primary taxonomy
- Nurse's Aide
376K00000X
- Sex
- Female
- Record last updated
- 2008-04-14
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