LEO VORAPON SAGNANERT

GLENDALE, CA
NPI1205045119
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2007-05-21
Last Update Date2007-07-08
Business Address
MR. LEO VORAPON SAGNANERT
4628 SAN FERNANDO RD
GLENDALE, CA 91204
Phone number: 818-240-8843
Mailing Address
MR. LEO VORAPON SAGNANERT
4628 SAN FERNANDO RD
GLENDALE, CA 91204-1822
Phone number: 818-240-8843