KEN SORYADVONGSA

SAN DIEGO, CA
NPI1295469930
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-07-09
Last Update Date2022-07-15
Business Address
KEN SORYADVONGSA
928 BROADWAY
SAN DIEGO, CA 92101-5514
Phone number: 619-977-3716
Mailing Address
KEN SORYADVONGSA
928 BROADWAY
SAN DIEGO, CA 92101-5514
Phone number: 619-977-3716
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