NAN ENGPHAIBON

PADUCAH, KY
NPI1487910212
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2012-04-05
Last Update Date2012-04-05
Business Address
-- NAN ENGPHAIBON
425 BROADWAY ST
PADUCAH, KY 42001-0713
Phone number: 270-442-7121
Mailing Address
-- NAN ENGPHAIBON
425 BROADWAY ST
PADUCAH, KY 42001-0713
Phone number: