PHAYSANE OUDOM

LA MESA, CA
NPI1265658405
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT 32527)
Enumeration Date2007-04-17
Last Update Date2007-07-08
Business Address
Mr. PHAYSANE OUDOM D.P.T.
7862 EL CAJON BLVD
LA MESA, CA 91941-3625
Phone number: 619-644-6452
Mailing Address
Mr. PHAYSANE OUDOM D.P.T.
6529 REFLECTION DR APT 114
SAN DIEGO, CA 92124-3174
Phone number:
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