AMBERLY ANTANA INTHAVONG

FAIRLAWN, OH
NPI1710759832
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-10-23
Last Update Date2023-10-23
Business Address
AMBERLY ANTANA INTHAVONG
3428 W MARKET ST
FAIRLAWN, OH 44333-3339
Phone number: 330-668-4041
Mailing Address
AMBERLY ANTANA INTHAVONG
3428 W MARKET ST
FAIRLAWN, OH 44333-3339
Phone number: