Individual provider · Type 1 NPI
Ammone Raddavong- Jaime
Licensed Vocational Nurse · Santa Rosa, CA
Practice location
3639 Montgomery Dr
Santa Rosa, CA 95405-5212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Vocational Nurse Primary | 164X00000X | VN183543 (CA) |
Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…
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About NPI 1972411239
Ammone Raddavong- Jaime's National Provider Identifier is 1972411239, issued on Aug 28, 2026. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Aug 28, 2026.