Most Relevant Information
Provider Data
| NPI Number: | 1003456252 |
| Provider Name: | CHARLENE PHUNG |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/15/2020 |
| Last Updated: | 01/15/2020 |
Provider Practice Location
1321 SOUTH HWY 160
STE. 10B
PAHRUMP
NV
89048
Practice Location Phone/Fax
| Phone: | 7759109061 |
| Fax: |
Provider Mailing Location
1321 SOUTH HWY 160
STE. 10B
PAHRUMP
NV
89048
Provider Mailing Phone/Fax
| Phone: | 7759109061 |
| Fax: |