Individual
AUTUMN LEE VUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4411 E. CESAR CHAVEZ BLVD. #319, FRESNO, CA 93702-3604
(559) 600-2382
Mailing address
4411 W. SHAW AVE STE. 108, FRESNO, CA 93711
(559) 558-4051
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
07/22/2019
Last updated
09/25/2024
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