Individual
PAT HIMPHAYVANH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN NURSE
Contact information
Practice address
4411 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 453-1008
(559) 453-2805
Mailing address
4411 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 453-1008
(559) 453-2805
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
618844
CA
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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