Individual
HELENA LACKCHANDA NGONVONGSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
600 E MAIN ST, STOCKTON, CA 95202-3029
(209) 462-2282
Mailing address
3052 HOWE AVE, STOCKTON, CA 95206-3430
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
743178
CA
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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