Individual
MS. SOTHAVY N PFAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1134 BELLENA AVENUE, CHULA VISTA, CA 91913
(619) 889-4069
Mailing address
1500 TRIDLE PLACE, CHULA VISTA, CA 91911
(619) 704-5451
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN-154292
CA
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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