Individual
MR. MICHAEL AUNGKHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
3840 MYERS ST, 2ND FLR., RIVERSIDE, CA 92503-3614
(951) 358-7718
(951) 358-7720
Mailing address
18502 STALLION CREST RD, RIVERSIDE, CA 92504-9614
(951) 536-0585
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
756959
CA
164X00000X
Licensed Vocational Nurse
201773
CA
Other
Enumeration date
10/25/2006
Last updated
11/11/2009
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