TEVE THONGVANH PHOMMAVONGSA

GARDEN GROVE, CA
NPI1760193932
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2022-12-08
Last Update Date2022-12-08
Business Address
TEVE THONGVANH PHOMMAVONGSA
12437 LEWIS ST STE 100
GARDEN GROVE, CA 92840-4651
Phone number: 714-202-0118
Mailing Address
TEVE THONGVANH PHOMMAVONGSA
1148 QUAIL MEADOWS
IRVINE, CA 92603-0698
Phone number: 949-276-1363