XAYYA THAMMAVONGSA

ALAMEDA, CA
NPI1588410880
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-04-26
Last Update Date2024-04-26
Business Address
XAYYA THAMMAVONGSA
1311 PARK ST # 1099
ALAMEDA, CA 94501-4507
Phone number: 888-428-3223
Mailing Address
XAYYA THAMMAVONGSA
4221 WILSHIRE BLVD STE 300A
LOS ANGELES, CA 90010-3537
Phone number: 888-428-3223