Provider Demographics
NPI:1942759279
Name:HO, JOANNE NGOCDUNG (PA-C)
Entity Type:Individual
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First Name:JOANNE
Middle Name:NGOCDUNG
Last Name:HO
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1343 N ALMA SCHOOL RD
Mailing Address - Street 2:STE 160
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-5901
Mailing Address - Country:US
Mailing Address - Phone:480-963-1853
Mailing Address - Fax:480-963-1854
Practice Address - Street 1:44572 W BOWLIN RD
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85138-4558
Practice Address - Country:US
Practice Address - Phone:520-568-2245
Practice Address - Fax:520-568-2316
Is Sole Proprietor?:No
Enumeration Date:2016-09-28
Last Update Date:2017-04-21
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Provider Licenses
StateLicense IDTaxonomies
AZ6430363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical