Individual
SEAN PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1060 W SIERRA AVE # 104, FRESNO, CA 93711-2063
(559) 437-1111
(559) 437-1118
Mailing address
1060 W SIERRA AVE # 105, FRESNO, CA 93711-2063
(559) 437-1111
(559) 437-1118
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95004053
CA
Other
Enumeration date
03/22/2015
Last updated
12/09/2017
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