NIDIA DELSY PRAVONGVIENGKHAM

MORENO VALLEY, CA
NPI1235384066
Former NameNIDIA DELSY MOLINA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies106H00000X Marriage & Family Therapist
(Licence: CA  IMF 54676)
Enumeration Date2008-11-20
Last Update Date2012-11-14
Business Address
Mrs. NIDIA DELSY PRAVONGVIENGKHAM M.S.
13800 HEACOCK ST STE C236
MORENO VALLEY, CA 92553-3364
Phone number: 951-653-0819
Mailing Address
Mrs. NIDIA DELSY PRAVONGVIENGKHAM M.S.
13415 CANTERBURY DOWNS WAY
MORENO VALLEY, CA 92555-8402
Phone number: 951-893-0089