Pongpungam, Jennifer

Pongpungam, Jennifer is an individual health care provider with primary practice located at 335 E Avenue I Ste 24 , Lancaster CA 93535-1916. She recently has only one registered license in Nursing Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Pongpungam, Jennifer can be contacted via phone (661) 471-4561.

Contact Information

Primary practice address
335 E Avenue I Ste 24 Lancaster CA 93535-1916
Phone: (661) 471-4561
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Ambulatory Care 163WP2201X 542305 California

Profile Details

NPI number 1417477860
LBN Legal business name Pongpungam, Jennifer
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2017
Last updated Jun 26th, 2017 - about 7 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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