VITUNE VONGTAMA MD
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1598793507- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 4722 QUAIL LAKES DR, STOCKTON, CA, 952075244
- Phone
- (209) 472-1848
- Fax
- (209) 472-0133
Specialties & Taxonomies
Unknown
Primary License: CA #A29753