Individual provider · Type 1 NPI
Ji Eun Vongphoe
Primary Care Nurse Practitioner · Rancho Cucamonga, CA
NPI number
1962034199
Active
Practice location
12341 Alamo Dr
Rancho Cucamonga, CA 91739-2290
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | NP95010302 (CA) |
Primary Care Nurse Practitioner: Definition to come...
Other primary care nurse practitioner providers in Rancho Cucamonga
About NPI 1962034199
Ji Eun Vongphoe's National Provider Identifier is 1962034199, issued on Feb 5, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Feb 5, 2020.