Lavantre Phavorachith
Lavantre Phavorachith is a Licensed Vocational Nurse in Fresno, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
4411 E Kings Canyon RdFresno, CA 93702-3604
Phone: (559) 453-1008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Vocational Nurse (primary) | Taxonomy 164X00000X · Licence VN717375 (CA) |
|---|
Record details
| NPI number | 1720653900 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 21, 2021 |
| Last updated in NPPES | May 3, 2023 |
| Certification date | May 3, 2023 |
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