Individual
KHOUA YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
4422 N PERSHING AVE STE D2, STOCKTON, CA 95207-6967
(209) 953-8864
Mailing address
4422 N PERSHING AVE STE D2, STOCKTON, CA 95207-6967
(209) 953-8864
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
05/09/2008
Last updated
03/21/2025
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