FIDELA BOUATHONG

SACRAMENTO, CA
NPI1073155206
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2019-10-09
Last Update Date2019-10-09
Business Address
FIDELA BOUATHONG
500 JESSIE AVE
SACRAMENTO, CA 95838-2609
Phone number: 916-922-7177
Mailing Address
FIDELA BOUATHONG
623 14TH ST
SACRAMENTO, CA 95814
Phone number:
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