Individual
APRIL KIM THIPHAVONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2851 MEADOW LARK DR, SAN DIEGO, CA 92123-2709
(858) 571-1964
Mailing address
2851 MEADOW LARK DR, SAN DIEGO, CA 92123-2709
(858) 571-1964
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN254201
CA
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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