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NPI 1619798022

IndividualActive

Jaqueline Phomsouvandara

NPI 1619798022 · Nurse's Aide · Laughlin, NV

Provider details

NPI number: 1619798022
Entity type: Individual
Primary specialty: Nurse's AideNursing Service Related Providers
Sole proprietor: No

Practice location

3100 S Needles Hwy Ste 600

Laughlin, NV 89029-0815

Phone: (801) 485-6166

More NV providers

Mailing address

746 E Winchester St Ste 200

Murray, UT 84107-8513

Registry dates

Enumerated: 2024-10-18
Last updated: 2024-10-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Jaqueline Phomsouvandara — NPI 1619798022, Laughlin, NV | NPI Central