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Lucky Khambouneheuang
Student in an Organized Health Care Education/Training Program in San Francisco, California
NPI 1275201006

Lucky Khambouneheuang is a Student in an Organized Health Care Education/Training Program based in San Francisco, CA. Lucky Khambouneheuang practices in San Francisco, CA. The NPI Number for Lucky Khambouneheuang is 1275201006 and holds a License No. (California).

The current practice location address for Lucky Khambouneheuang is 505 Parnassus Ave, M1480, San Francisco, CA and can be reached out via phone at 415-476-1528.

Location: 505 Parnassus Ave, M1480, San Francisco, CA, 94143
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275201006
Provider Name
Lucky Khambouneheuang
Credential
Provider Entity Type
Individual
Gender
Male
Address
505 Parnassus Ave, M1480, San Francisco, CA, 94143
Phone Number
415-476-1528
Fax Number
Provider Enumeration Date
09/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
505 Parnassus Ave, M1480
City
San Francisco
State
California
Zip
94143
Phone Number
415-476-1528
Fax Number
person
Provider Business Mailing Address Details
Address
505 Parnassus Ave, M1480
City
San Francisco
State
California
Zip
94143
Phone Number
415-476-1528
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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