PAM SUPHAPHINANT

LOS ANGELES, CA
NPI1790993640
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  8649)
Enumeration Date2007-05-21
Last Update Date2007-07-08
Business Address
-- PAM SUPHAPHINANT
1200 N STATE ST
LOS ANGELES, CA 90033-1029
Phone number: 323-226-7437
Mailing Address
-- PAM SUPHAPHINANT
3902 GRANDVIEW DR
BREA, CA 92823-1014
Phone number:
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