MORINA IRENE SYSOUVANH

SACRAMENTO, CA
NPI1902380207
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2018-09-21
Last Update Date2018-09-21
Business Address
MORINA IRENE SYSOUVANH
1050 FULTON AVE STE 230
SACRAMENTO, CA 95825-4299
Phone number: 916-974-2599
Mailing Address
MORINA IRENE SYSOUVANH
4009 WESTPORTER DR
SACRAMENTO, CA 95826-5426
Phone number: