Individual
CHHOEUTH BOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 VAN NESS AVE, #804, FRESNO, CA 93721-2016
(559) 488-3420
(559) 262-4339
Mailing address
1100 VAN NESS AVE, #804, FRESNO, CA 93721-2016
(559) 488-3420
(559) 262-4339
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/08/2008
Last updated
08/08/2008
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