SUPAVINEE PHANNGOEN

WASHINGTON, DC
NPI1679276380
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2023-03-22
Last Update Date2023-03-22
Business Address
SUPAVINEE PHANNGOEN
2811 PENNSYLVANIA AVE SE # LL
WASHINGTON, DC 20020-3865
Phone number: 202-894-6811
Mailing Address
SUPAVINEE PHANNGOEN
12804 BLUHILL RD
SILVER SPRING, MD 20906-4026
Phone number: 301-267-0368
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