# FRESNO WOUND CARE IN HOME SERVICE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407615370
- **Authorized official:** MRS. ISLAMBEK TARPANBAEV (CEO)
- **Authorized official phone:** (559) 475-0274

## Contact information

- **Practice address:** 1954 N GATEWAY BLVD STE 102, FRESNO, CA 93727-1644
- **Practice address phone:** (559) 475-0274
- **Mailing address:** 1954 N GATEWAY BLVD STE 102, FRESNO, CA 93727-1644
- **Mailing address phone:** (559) 475-0274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 03/14/2024
- **Last updated:** 07/14/2025