PETAMPHONE VANLATHANITH

FREMONT, CA
NPI1164011201
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2021-01-13
Last Update Date2021-01-13
Business Address
PETAMPHONE VANLATHANITH
39201 STATE ST
FREMONT, CA 94538-1437
Phone number: 866-206-2008
Mailing Address
PETAMPHONE VANLATHANITH
39201 STATE ST
FREMONT, CA 94538-1437
Phone number: 866-206-2008
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