Individual
ANTOINETTE T KHOWONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDICAL DOCTOR
Contact information
Practice address
5 MEDICAL PLAZA DR, SUITE 250, ROSEVILLE, CA 95661-2865
(916) 782-2229
(916) 797-9414
Mailing address
5 MEDICAL PLAZA DR, SUITE 250, ROSEVILLE, CA 95661-2865
(916) 782-2229
(916) 797-9414
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
6252
KS
207VX0000X
Obstetrics Physician
Primary
A105245
CA
Other
Enumeration date
12/27/2006
Last updated
12/16/2021
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