Individual
JERRY VANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4879 E ATCHISON AVE, FRESNO, CA 93725-1201
(559) 570-4948
Mailing address
4879 E ATCHISON AVE, FRESNO, CA 93725-1201
(559) 570-4948
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B049162
CA
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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