Kwonta Phatiphong
NPI #1003288564 in Pomona, California
Provider Information
- NPI Number
- 1003288564
- Entity Type
- Individual
- Name
- Kwonta Phatiphong
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Oct 23, 2015
- Last Updated
- Jul 21, 2020
Practice Location
- Address
- 2008 N GAREY AVE
- City
- Pomona
- State
- California
- ZIP Code
- 91767-2722
- Phone
- (909) 623-6131
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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