MAKHA PHETPHOMMASOUK

SANTA ROSA, CA
NPI1346782646
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: CA  17021)
Enumeration Date2016-11-17
Last Update Date2016-11-17
Business Address
-- MAKHA PHETPHOMMASOUK
95 MONTGOMERY DR 126
SANTA ROSA, CA 95404-6630
Phone number: 707-861-0625
Mailing Address
-- MAKHA PHETPHOMMASOUK
2196 WOLFBERRY WAY
SANTA ROSA, CA 95404-6188
Phone number: 707-548-1875
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