DOUANGTAVANH PHOMMISAI TANDAS

SACRAMENTO, CA
NPI1124277751
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2008-09-18
Last Update Date2008-09-18
Business Address
Mrs. DOUANGTAVANH PHOMMISAI TANDAS
820 LAMPASAS AVE APT 4
SACRAMENTO, CA 95815-2257
Phone number: 916-501-2693
Mailing Address
Mrs. DOUANGTAVANH PHOMMISAI TANDAS
820 LAMPASAS AVE APT 4
SACRAMENTO, CA 95815-2257
Phone number: 916-501-2693
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