LUCKY KHAMBOUNEHEUANG

SAN FRANCISCO, CA
NPI1275201006
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-09-06
Last Update Date2023-03-24
Business Address
LUCKY KHAMBOUNEHEUANG
505 PARNASSUS AVE, M1480
SAN FRANCISCO, CA 94143
Phone number: 415-476-1528
Mailing Address
LUCKY KHAMBOUNEHEUANG
505 PARNASSUS AVE, M1480
SAN FRANCISCO, CA 94143
Phone number:
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