VICTORY VICHEAVUTH HENG

LONG BEACH, CA
NPI1629339403
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2012-06-07
Last Update Date2012-06-07
Business Address
VICTORY VICHEAVUTH HENG
2201 E ANAHEIM ST
LONG BEACH, CA 90804-3411
Phone number: 562-433-2490
Mailing Address
VICTORY VICHEAVUTH HENG
2201 E ANAHEIM ST
LONG BEACH, CA 90804-3411
Phone number: 562-433-2490
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