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BOONMA PHOMMALAYVANE
Durable Medical Equipment & Medical Supplies
NPI: 1972923332Individual
Specialties, Licenses & Credentials
Durable Medical Equipment & Medical Supplies
Code: 332B00000X
Contact & Hours
- Address
- 8218 9TH ST
RANCHO CUCAMONGA, CA 91730 - Phone
- (909) 731-6206
Quick Facts
- NPI
- 1972923332
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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