KHAMFONG PHIMMAVONG

SAN DIEGO, CA
NPI1649064049
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2025-04-09
Last Update Date2025-04-09
Business Address
KHAMFONG PHIMMAVONG
6160 CORNERSTONE CT E
SAN DIEGO, CA 92121-3720
Phone number: 858-304-6440
Mailing Address
KHAMFONG PHIMMAVONG
6160 CORNERSTONE CT E
SAN DIEGO, CA 92121-3720
Phone number: 858-304-6440
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