CHOMSANITH PHOUANGKEO

RICHMOND, CA
NPI1013053065
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-01-29
Last Update Date2007-07-08
Business Address
-- CHOMSANITH PHOUANGKEO
3905 MACDONALD AVE
RICHMOND, CA 94805-2229
Phone number: 510-233-7555
Mailing Address
-- CHOMSANITH PHOUANGKEO
3905 MACDONALD AVE
RICHMOND, CA 94805-2229
Phone number: 510-233-7555