Individual
MR. QUY ANH GIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4411 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 436-0254
Mailing address
4411 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 436-0254
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
584724
CA
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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