Individual
MRS. JAEMIE CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4411 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 600-7708
Mailing address
4411 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 600-7708
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
838062
CA
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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