LATHAI RATANAVONGSA

FULLERTON, CA
NPI1942521661
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2010-06-16
Last Update Date2010-06-16
Business Address
-- LATHAI RATANAVONGSA
801 E CHAPMAN AVE
FULLERTON, CA 92831-3839
Phone number: 714-680-9000
Mailing Address
-- LATHAI RATANAVONGSA
4901 CLAIR DEL AVE APT 1208
LONG BEACH, CA 90807-6194
Phone number: 520-270-1918
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