PHANOMVAN PONGDARA

Personal Care Attendant

NPI: 1205626595Individual

Specialties, Licenses & Credentials

Personal Care AttendantPrimary

Technician — Personal Care Attendant

Code: 3747P1801X

Contact & Hours

Address: 5030 LOCUST ST
LINCOLN, NE 68516
Phone: (952) 452-1202

Quick Facts

NPI: 1205626595
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

Are you this provider?

Claim Your Profile