Individual
CHIO CHANH SAEPHANH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
127 W EL PORTAL DR, MERCED, CA 95348-2853
(209) 723-3704
(209) 723-0272
Mailing address
PO BOX 3768, MERCED, CA 95344-3768
(209) 725-7149
(209) 726-0134
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
746562
CA
363LF0000X
Family Nurse Practitioner
Primary
95005472
CA
Other
Enumeration date
07/11/2016
Last updated
04/19/2023
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