Khantalee Souvannavong - Rochester, NY

Khantalee Souvannavong

Licensed Practical Nurse in Rochester, New York

NPI 1487042560

Khantalee Souvannavong is a Licensed Practical Nurse based in Rochester, NY. Khantalee Souvannavong practices in Rochester, NY. The NPI Number for Khantalee Souvannavong is 1487042560 and holds a License No. 286904-1 (New York).

The current practice location address for Khantalee Souvannavong is 185 Country Ln, Rochester, NY and can be reached out via phone at 585-749-0292.

Location: 185 Country Ln, Rochester, NY, 14626-3307

NPI Number

1487042560

Provider Name

Khantalee Souvannavong

Credential

Provider Entity Type

Individual

Gender

Female

Address

185 Country Ln, Rochester, NY, 14626-3307

Phone Number

585-749-0292

Fax Number

Provider Enumeration Date

12/25/2014

Last Update Date

03/09/2024

Address

185 Country Ln

City

Rochester

State

New York

Zip

14626-3307

Phone Number

585-749-0292

Fax Number

Address

185 Country Ln

City

Rochester

State

New York

Zip

14626-3307

Phone Number

585-749-0292

Fax Number

Type

Nursing Service Providers

Classification

Licensed Practical Nurse

Speciality

Taxonomy

164W00000X

License No.

286904-1 (New York)

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. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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