SELINA SRISTIENVONG

SYOSSET, NY
NPI1093377160
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Enumeration Date2019-06-28
Last Update Date2019-06-28
Business Address
SELINA SRISTIENVONG
6800 JERICHO TPKE STE 120W
SYOSSET, NY 11791-4445
Phone number: 516-393-5966
Mailing Address
SELINA SRISTIENVONG
6800 JERICHO TPKE STE 120W
SYOSSET, NY 11791-4445
Phone number: