Individual
HONG V LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
955 W CENTER ST STE 12A&14, MANTECA, CA 95337-7300
(209) 239-9600
Mailing address
7246 REMMET AVE, CANOGA PARK, CA 91303-1531
(818) 206-0360
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
705879
CA
Other
Enumeration date
04/01/2020
Last updated
04/02/2020
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