Individual
MS. LARLY VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 453-5200
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 453-5200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
771907
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
95034989
CA
Other
Enumeration date
12/16/2011
Last updated
01/28/2026
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