PUKAN PHAOUDOM

FRESNO, CA
NPI1790844512
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCSW25857)
Additional Taxonomies1041C0700X Social Worker, Clinical
Enumeration Date2006-12-07
Last Update Date2024-09-17
Business Address
PUKAN PHAOUDOM
4447 E. CESAR CHAVEZ BLVD
FRESNO, CA 93702-3604
Phone number: 559-600-4693
Mailing Address
PUKAN PHAOUDOM
4447 E. CESAR CHAVEZ BLVD
FRESNO, CA 93702-3604
Phone number: 559-600-4693