Individual
IRENE VONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15173 BLUFFSIDE LN, VICTORVILLE, CA 92394-9519
(626) 213-4754
Mailing address
15173 BLUFFSIDE LN, VICTORVILLE, CA 92394-9519
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 267023
CA
Other
Enumeration date
02/08/2014
Last updated
02/08/2014
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