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Douangtavanh Phommisai Tandas

Counselor in Sacramento, CA. Individual provider (NPI-1).

NPI number1124277751
StatusActive
Last updated in NPPESSep 18, 2008

Details

NPI
1124277751
Entity type
Individual (NPI-1)
Name
Mrs. Douangtavanh Phommisai Tandas
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 18, 2008
Last updated
Sep 18, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes

Practice location

820 Lampasas Ave Apt 4
Sacramento, CA 95815-2257

Phone 916-501-2693

Mailing address

820 Lampasas Ave Apt 4
Sacramento, CA 95815-2257

Phone 916-501-2693

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