KONGPENG C MOUA

STOCKTON, CA
NPI1245875327
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: CA  8080705)
Enumeration Date2019-11-12
Last Update Date2019-11-12
Business Address
Mr. KONGPENG C MOUA RD
425 N CALIFORNIA ST STE 7
STOCKTON, CA 95202-2130
Phone number: 209-870-5000
Mailing Address
Mr. KONGPENG C MOUA RD
7820 CENTER PKWY APT 239
SACRAMENTO, CA 95823-4785
Phone number: 209-777-7446
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