Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. NIDIA DELSY PRAVONGVIENGKHAM, M.S.
Active Sole ProprietorMRS. NIDIA DELSY PRAVONGVIENGKHAM, M.S. is a Case Manager healthcare provider located in MORENO VALLEY, California. NPI 1235384066 is currently active in the NPPES registry. Verify at CMS.
Case Manager · MORENO VALLEY, CA
Registration Details
- NPI Number
- 1235384066
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 20, 2008 (17.713386576399 yrs)
- Last Updated
- Nov 14, 2012
- License
-
IMF 54676 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13800 HEACOCK ST STE C236MORENO VALLEY, CA, 925533364Browse CA providers · Browse ZIP 92553
- Phone
- 9516530819
- Primary Specialty
-
Case Manager
171M00000X
- Additional Specialty
- Case Manager
Other Case Manager Providers in MORENO VALLEY, CA
| Name | Credential | NPI |
|---|---|---|
| SHEJUANIS ANDREA STRAWDER | — | 1962608091 |
| NELSON MUSONDA | — | 1417141979 |
| MRS. KRISTI MARIE CASLER | — | 1790921559 |
| MR. BENJAMIN RUTANHIRA | — | 1336385194 |
| MR. JARED MATTHEW MCCONNELL | — | 1912149923 |
| SHEILA STOLDEN | — | 1255653705 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.