Individual
MS. PHYLAVANH PHANHTHARATH
Active
Individual
MS. PHYLAVANH PHANHTHARATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNS-BC
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
AP133384
TX
364SA2200X
Adult Health Clinical Nurse Specialist
APRN-2756
HI
Other
Enumeration date
04/06/2017
Last updated
08/14/2020
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