SOPHEAP HAM

RENTON, WA
NPI1184162505
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: CA  961863)
Enumeration Date2017-02-06
Last Update Date2017-02-06
Business Address
-- SOPHEAP HAM RD
2100 LAKE WASHINGTON BLVD N APARTMENT # D102
RENTON, WA 98056-1450
Phone number: 925-640-9582
Mailing Address
-- SOPHEAP HAM RD
2100 LAKE WASHINGTON BLVD N APARTMENT # D102
RENTON, WA 98056-1450
Phone number:
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