Individual
MR. CHANTRAVUTH K PEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
17695 INDUSTRIAL FARM RD, BAKERSFIELD, CA 93308-9520
(661) 391-7948
(661) 391-7978
Mailing address
PO BOX 1000, BAKERSFIELD, CA 93302-1000
(661) 391-7948
(661) 391-7978
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 192537
CA
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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