Individual
MRS. ALMA PRICE CHONGVILAIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
6900 PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
9309 LANTANA DRIVE, LOUISVILLE, KY 40229
(505) 304-4292
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
3069
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3069
NEW MEXICO STATE PRACTIONERS LICENSE
NM
Enumeration date
02/08/2013
Last updated
02/08/2013
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