LONG PHAM

EASTVALE, CA
NPI1962986042
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225800000X Recreation Therapist
(Licence: CA  29433)
Enumeration Date2018-09-24
Last Update Date2018-09-24
Business Address
LONG PHAM
7175 ENCLAVE DR
EASTVALE, CA 92880-3828
Phone number: 318-791-9853
Mailing Address
LONG PHAM
7175 ENCLAVE DR
EASTVALE, CA 92880-3828
Phone number: 318-791-9853