PARAVEE PRAKONGSUP

ENCINO, CA
NPI1659837441
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  SP29226)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: CA  RPE13106)
Enumeration Date2019-02-16
Last Update Date2021-01-28
Business Address
PARAVEE PRAKONGSUP
15928 VENTURA BLVD STE 218
ENCINO, CA 91436-4413
Phone number: 818-518-9709
Mailing Address
PARAVEE PRAKONGSUP
7800 WOODMAN AVE APT 114
PANORAMA CITY, CA 91402-7509
Phone number: