JACOB SINGHAVONG

SAN DIMAS, CA
NPI1073358289
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
Enumeration Date2024-06-28
Last Update Date2024-06-28
Business Address
JACOB SINGHAVONG
540 E FOOTHILL BLVD STE 101
SAN DIMAS, CA 91773-1251
Phone number: 626-779-8583
Mailing Address
JACOB SINGHAVONG
12142 CENTRAL AVE # 177
CHINO, CA 91710-2420
Phone number: