Khamsavat Maneevorn

NPI 1740475094 - Counselor - 101YA0400X

NPI Details
NPI 1740475094
Gender Male
Enumeration Date 09/10/2007
Last Updated 09/10/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3905 MACDONALD AVE
RICHMOND CA, 94805-2229, US
Phone (510) 233-7555
Fax
Business Location
3905 MACDONALD AVE
RICHMOND CA, 94805-2229, US
Phone (510) 233-7555
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Khamsavat Maneevorn NPI is 1740475094, taxonomy code is 101YA0400X Khamsavat Maneevorn physically located at 3905 Macdonald Ave, Richmond CA, 94805-2229. NPI Number Khamsavat Maneevorn has the Individual type.

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1740475094 NPI number is provided on an as is basis without warranty of any kind. 1740475094 is maintained by the National Plan & Provider Enumeration System. The contents of Khamsavat Maneevorn are for informational purposes only.