Individual
AMY OUBONVANH RAJSAVONG-CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 N CHESTER AVE, BAKERSFIELD, CA 93308-1770
(661) 868-1800
(661) 868-1839
Mailing address
PO BOX 1000, BAKERSFIELD, CA 93302-1000
(661) 868-6601
(661) 868-6666
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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