Individual
VIENGCHAI KEMPIENSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2635 37TH AVE N, SAINT PETERSBURG, FL 33713-1731
(727) 528-0936
Mailing address
BAN SAILOM, VIENTIANE, CAPITAL 10001
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN1136581
FL
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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