Individual
BAO MOUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
4855 E KINGS CANYON RD # 105, FRESNO, CA 93727-3811
(559) 255-8395
Mailing address
4879 E KINGS CANYON RD, FRESNO, CA 93727-3811
(559) 255-8395
(559) 255-1656
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/18/2018
Last updated
09/20/2019
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