TERESA THAMMAVONG

SPRING VALLEY, CA
NPI1417378308
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-12-19
Last Update Date2013-12-19
Business Address
-- TERESA THAMMAVONG
2315 BAR BIT RD
SPRING VALLEY, CA 91978-1901
Phone number: 619-337-3830
Mailing Address
-- TERESA THAMMAVONG
2315 BAR BIT RD
SPRING VALLEY, CA 91978-1901
Phone number: 619-337-3830
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