Phongdara, Christine Joy

Phongdara, Christine Joy is an sole proprietor health care provider with primary practice located at 4990 Arlington Ave Ste D , Riverside CA 92504-2757. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Phongdara, Christine Joy can be contacted via phone (951) 785-9011.

Contact Information

Primary practice address
4990 Arlington Ave Ste D Riverside CA 92504-2757
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 504575 California

Profile Details

NPI number 1659589489
LBN Legal business name Phongdara, Christine Joy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2007
Last updated Aug 12th, 2019 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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