Khounsavanh Brenda Phomavong
ActiveCalifornia license 6688
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 6688
- Status
- Active (Current)
- First issued
- November 30, 2023
- Expires
- July 31, 2027
- License holder
- Khounsavanh Brenda Phomavong
- Entity type
- Individual
Classifications
- Occupational Therapy Assistant Therapy & Rehabilitation
More from the license record
- License type code
- 7103
Contact
2345 Flushing Dr
San Diego, CA 92111-6206
San Diego, CA 92111-6206