CODY THAMMAVONGSA

GRAND RAPIDS, MI
NPI1154064483
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2022-04-14
Last Update Date2022-04-14
Business Address
CODY THAMMAVONGSA
120 STEVENS ST SW
GRAND RAPIDS, MI 49507-1526
Phone number: 855-832-6727
Mailing Address
CODY THAMMAVONGSA
7108 S KANNER HWY
STUART, FL 34997-7462
Phone number: 855-832-6727
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