Dr. Vinai Pongbandith Decena, FNP, DNP
Nurse Practitioner, Family in Turlock, CA. Individual provider (NPI-1).
NPI number1649754367
StatusActive
Last updated in NPPESSep 18, 2018
Details
- NPI
- 1649754367
- Entity type
- Individual (NPI-1)
- Name
- Dr. Vinai Pongbandith Decena
- Credential
- FNP, DNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 18, 2018
- Last updated
- Sep 18, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95009808 | CA | Yes |
Practice location
1111 E Tuolumne RdTurlock, CA 95382-1541
Phone 209-632-7577 · Fax 209-669-9067
Mailing address
3683 Skeena AveCeres, CA 95307-7016
Phone 209-541-7209
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