PHOLISITH A BOUPHAPRASEUTH

N HOLLYWOOD, CA
NPI1174322184
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171400000X Health & Wellness Coach
Additional Taxonomies246RP1900X Technician, Pathology, Phlebotomy
Enumeration Date2025-03-11
Last Update Date2025-03-25
Business Address
PHOLISITH A BOUPHAPRASEUTH
11009 BURBANK BLVD STE 121
N HOLLYWOOD, CA 91601-5745
Phone number: 310-606-7281
Mailing Address
PHOLISITH A BOUPHAPRASEUTH
11009 BURBANK BLVD STE 121
N HOLLYWOOD, CA 91601-5745
Phone number: 310-606-7281