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Ji Eun Vongphoe
Primary Care Nurse Practitioner in Rancho Cucamonga, California
NPI 1962034199

Ji Eun Vongphoe is a Primary Care Nurse Practitioner based in Rancho Cucamonga, CA and is specialized in Primary Care. Ji Eun Vongphoe practices in Rancho Cucamonga, CA. The NPI Number for Ji Eun Vongphoe is 1962034199 and holds a License No. NP95010302 (California).

The current practice location address for Ji Eun Vongphoe is 12341 Alamo Dr, Rancho Cucamonga, CA and can be reached out via phone at 323-829-5485.

Location: 12341 Alamo Dr, Rancho Cucamonga, CA, 91739-2290
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962034199
Provider Name
Ji Eun Vongphoe
Credential
Provider Entity Type
Individual
Gender
Female
Address
12341 Alamo Dr, Rancho Cucamonga, CA, 91739-2290
Phone Number
323-829-5485
Fax Number
Provider Enumeration Date
02/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12341 Alamo Dr
City
Rancho Cucamonga
State
California
Zip
91739-2290
Phone Number
323-829-5485
Fax Number
person
Provider Business Mailing Address Details
Address
12341 Alamo Dr
City
Rancho Cucamonga
State
California
Zip
91739-2290
Phone Number
323-829-5485
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
NP95010302 (California)
Definition
Definition to come...
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