Amkhamavong, Vickie Vienkhong

Amkhamavong, Vickie Vienkhong is an individual health care provider with primary practice located at 4410 N Pershing Ave Ste C1 , Stockton CA 95207-6960. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Amkhamavong, Vickie Vienkhong can be contacted via phone (209) 323-5338.

Contact Information

Primary practice address
4410 N Pershing Ave Ste C1 Stockton CA 95207-6960
Phone: (209) 323-5338
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X California

Profile Details

NPI number 1023285970
LBN Legal business name Amkhamavong, Vickie Vienkhong
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2008
Last updated Dec 1st, 2023 - about last year

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.

Request for update

Popular Providers