ANDREW PHETAROUN SOMPHONPHAKDY

LA MIRADA, CA
NPI1225793987
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
Enumeration Date2021-11-07
Last Update Date2021-11-07
Business Address
ANDREW PHETAROUN SOMPHONPHAKDY
13229 EDWARDS RD
LA MIRADA, CA 90638-1823
Phone number: 562-587-0978
Mailing Address
ANDREW PHETAROUN SOMPHONPHAKDY
13229 EDWARDS RD
LA MIRADA, CA 90638-1823
Phone number: 562-587-0978
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