HALINA PRAVONGVIENGKHAM

SURPRISE, AZ
NPI1871304964
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2025-01-17
Last Update Date2025-01-17
Business Address
HALINA PRAVONGVIENGKHAM
15116 N COTTON LN
SURPRISE, AZ 85388-9618
Phone number: 623-322-8250
Mailing Address
HALINA PRAVONGVIENGKHAM
15116 N COTTON LN
SURPRISE, AZ 85388-9618
Phone number: 623-322-8250
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