KHAMSAVAT MANEEVORN

RICHMOND, CA
NPI1740475094
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-09-10
Last Update Date2007-09-10
Business Address
-- KHAMSAVAT MANEEVORN
3905 MACDONALD AVE
RICHMOND, CA 94805-2229
Phone number: 510-233-7555
Mailing Address
-- KHAMSAVAT MANEEVORN
3905 MACDONALD AVE
RICHMOND, CA 94805-2229
Phone number: 510-233-7555
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