BRUNO SIVONGXAY

FRESNO, CA
NPI1063982049
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-12-03
Last Update Date2018-12-03
Business Address
BRUNO SIVONGXAY
2772 SOUTH MARTIN L KING JR BLVD
FRESNO, CA 93706
Phone number: 559-265-4800
Mailing Address
BRUNO SIVONGXAY
2772 SOUTH MARTIN L KING JR. BLVD
FRESNO, CA 93706
Phone number: