KWONTA PHATIPHONG

POMONA, CA
NPI1003288564
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  96278)
Enumeration Date2015-10-23
Last Update Date2020-07-21
Business Address
KWONTA PHATIPHONG
2008 N GAREY AVE
POMONA, CA 91767-2722
Phone number: 909-623-6131
Mailing Address
KWONTA PHATIPHONG
PO BOX 1764
CHINO HILLS, CA 91709-0059
Phone number: 909-671-9004
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