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Chittadaphone Phouthavong, RN

NPI 1952600330 · on the registry since 2011 · sole proprietor

Practice

Address
111 Westfall Rd
Rochester, NY 14620
Phone
(585) 353-9305
Organisation at this address
County Of Monroe
County Of Monroe
County Of Monroe
County Of Monroe
Monroe County Health Department
Inferred from a shared address, not stated in the registry.
Clinicians at this address
99

Additional practice sites

  • 37 Maple Valley Cres, Rochester, NY

Registry record

Primary taxonomy
163W00000X
163W00000X
Also registered as
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-08-19

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 New York