ALISA PHOMMAVONG

FORT SMITH, AR
NPI1972891034
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2011-07-11
Last Update Date2024-07-09
Business Address
ALISA PHOMMAVONG
3304 S M ST
FORT SMITH, AR 72903-2903
Phone number: 479-785-4677
Mailing Address
ALISA PHOMMAVONG
2007 SITKA LN
BARLING, AR 72923-1526
Phone number:
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