SOPHORN SONNIE SAM

LONG BEACH, CA
NPI1013750645
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2024-06-12
Last Update Date2024-06-24
Business Address
Ms. SOPHORN SONNIE SAM
1515 E 20TH ST APT 1
LONG BEACH, CA 90806-5717
Phone number: 562-527-1093
Mailing Address
Ms. SOPHORN SONNIE SAM
1515 E 20TH ST APT 1
LONG BEACH, CA 90806-5717
Phone number: 562-527-1093