ANNIE KHOMMARATH

PALMDALE, CA
NPI1366982399
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy126800000X Dental Assistant
(Licence: CA  79331)
Enumeration Date2017-02-23
Last Update Date2017-02-23
Business Address
-- ANNIE KHOMMARATH
1846 AMARGOSA DR
PALMDALE, CA 93551-5114
Phone number: 818-645-6069
Mailing Address
-- ANNIE KHOMMARATH
1846 AMARGOSA DR
PALMDALE, CA 93551-5114
Phone number: 818-645-6069