PHANNO KHEM

STOCKTON, CA
NPI1609027853
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2008-10-07
Last Update Date2008-10-07
Business Address
Mr. PHANNO KHEM
3830 ALVARADO AVE STE. C
STOCKTON, CA 95204-2330
Phone number: 209-944-1700
Mailing Address
Mr. PHANNO KHEM
2348 GARETH CIR
STOCKTON, CA 95210-3485
Phone number: 209-684-3394