Individual
XIA VANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3349 N FORESTIERE AVE, FRESNO, CA 93722-7116
(559) 274-6133
Mailing address
3349 N FORESTIERE AVE, FRESNO, CA 93722-7116
(559) 274-6133
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA3738
CA
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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