Individual
NOUCHALEE VONGKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA, QMAP
Contact information
Practice address
5258 ELKHART ST, DENVER, CO 80239-6041
(720) 499-9490
Mailing address
5258 ELKHART ST, DENVER, CO 80239-6041
(720) 499-9490
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA.00781584
CO
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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