PUKAN PHAOUDOM

FRESNO, CA
NPI1790844512
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCSW25857)
Enumeration Date2006-12-07
Last Update Date2019-05-28
Business Address
PUKAN PHAOUDOM
4441 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-600-4693
Mailing Address
PUKAN PHAOUDOM
4441 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-600-4693
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