SAM SAMNANG SOUN

SACRAMENTO, CA
NPI1841572153
Former NameSAMNANG SAM SOUN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-09-13
Last Update Date2011-09-13
Business Address
-- SAM SAMNANG SOUN BA
3353 BRADSHAW RD SUITE 106
SACRAMENTO, CA 95827-2607
Phone number: 916-854-4564
Mailing Address
-- SAM SAMNANG SOUN BA
3353 BRADSHAW RD SUITE 106
SACRAMENTO, CA 95827-2607
Phone number: 916-854-4564
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