MATT NUMAVONG

COMMERCE, CA
NPI1942606355
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2014-11-12
Last Update Date2014-11-12
Business Address
MATT NUMAVONG
6055 E WASHINGTON BLVD
COMMERCE, CA 90040-2449
Phone number: 323-346-0960
Mailing Address
MATT NUMAVONG
6055 E WASHINGTON BLVD
COMMERCE, CA 90040-2449
Phone number: 323-346-0960
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