Individual
YIA VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
631 H ST, SACRAMENTO, CA 95814-2302
(916) 469-4714
Mailing address
7156 STEELMAN CIR, SACRAMENTO, CA 95828-3018
(916) 600-1630
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
04/24/2025
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