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Amanda Gong, LVN
Licensed Vocational Nurse in Clovis, California
NPI 1215083738

Amanda Gong is a Licensed Vocational Nurse based in Clovis, CA. Amanda Gong practices in Clovis, CA and has the professional credentials of LVN. The NPI Number for Amanda Gong is 1215083738 and holds a License No. VN214738 (California).

The current practice location address for Amanda Gong is 2857 Lincoln Ave, Clovis, CA and can be reached out via phone at 559-325-6518.

Location: 2857 Lincoln Ave, Clovis, CA, 93611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215083738
Provider Name
Amanda Gong
Credential
LVN
Provider Entity Type
Individual
Gender
Female
Address
2857 Lincoln Ave, Clovis, CA, 93611
Phone Number
559-325-6518
Fax Number
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
EPS014610 01 CA CALIFORNIA MEDICAID
RVN002950 01 CA PROGRAM
institution
Provider Business Practice Location Address Details
Address
2857 Lincoln Ave
City
Clovis
State
California
Zip
93611
Phone Number
559-325-6518
Fax Number
person
Provider Business Mailing Address Details
Address
2857 Lincoln Ave
City
Clovis
State
California
Zip
93611
Phone Number
559-325-6518
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
VN214738 (California)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
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