JACQUELINE PUTSOPHEAK FERNANDO

FRESNO, CA
NPI1649468695
Other NameJACQUELINE PUTSOPHEAK TAK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: CA  LCSW62661)
Enumeration Date2007-10-03
Last Update Date2026-07-15
Business Address
JACQUELINE PUTSOPHEAK FERNANDO
1134 E CHAMPLAIN DR STE 101-710
FRESNO, CA 93720-5033
Phone number: 650-863-8325
Mailing Address
JACQUELINE PUTSOPHEAK FERNANDO
1860 E BELLA ROSA AVE
FRESNO, CA 93730-7026
Phone number: 650-863-8325