NANCY KHANTHAVONG

SAN FRANCISCO, CA
NPI1578281119
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1446871021)
Enumeration Date2022-08-19
Last Update Date2022-08-19
Business Address
NANCY KHANTHAVONG
1563 MISSION ST
SAN FRANCISCO, CA 94103-2543
Phone number: 415-762-3700
Mailing Address
NANCY KHANTHAVONG
3215 BALBOA ST
SAN FRANCISCO, CA 94121-2731
Phone number: 415-299-5822
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