MIKIE INTHAVONG

FRESNO, CA
NPI1013419407
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2018-03-02
Last Update Date2018-03-02
Business Address
MIKIE INTHAVONG
1220 N FINE AVE
FRESNO, CA 93727-1916
Phone number: 559-231-1304
Mailing Address
MIKIE INTHAVONG
1220 N FINE AVE
FRESNO, CA 93727-1916
Phone number: 559-231-1304
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