person
Patana Pongvarin
Addiction (Substance Use Disorder) Registered Nurse in Costa Mesa, California
NPI 1649762188

Patana Pongvarin is an Addiction (Substance Use Disorder) Registered Nurse based in Costa Mesa, CA and is specialized in Addiction (Substance Use Disorder). Patana Pongvarin practices in Costa Mesa, CA. The NPI Number for Patana Pongvarin is 1649762188 and holds a License No. VN227571 (California).

The current practice location address for Patana Pongvarin is 275 Victoria St Ste 1H, Costa Mesa, CA and can be reached out via phone at 949-629-2862. You can also correspond with Patana Pongvarin through the mailing address at 275 VICTORIA ST STE 1H, COSTA MESA, CA - 92627-1906 (mailing address contact number: 949-629-2862).

Location: 275 Victoria St Ste 1H, Costa Mesa, CA, 92627-1906
person
Provider Profile Details
NPI Number
1649762188
Provider Name
Patana Pongvarin
Credential
Provider Entity Type
Individual
Gender
Female
Address
275 Victoria St Ste 1H, Costa Mesa, CA, 92627-1906
Phone Number
949-629-2862
Fax Number
Provider Enumeration Date
05/31/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
275 Victoria St Ste 1H
City
State
Zip
92627-1906
Phone Number
949-629-2862
Fax Number
person
Provider Business Mailing Address Details
Address
275 Victoria St Ste 1H
City
State
Zip
92627-1906
Phone Number
949-629-2862
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
VN227571 (California)
Definition
Definition to come...
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