Individual
CHIA VANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8338 WEST LN STE 105, STOCKTON, CA 95210-3145
(209) 466-0721
(209) 466-6567
Mailing address
8338 WEST LN STE 105, STOCKTON, CA 95210-3145
(209) 466-0721
(209) 466-6567
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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