Individual
MR. PHORS YIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5837 FRED RUSSO DR, STOCKTON, CA 95212-2895
(209) 981-5782
Mailing address
5837 FRED RUSSO DR, STOCKTON, CA 95212-2895
(209) 981-5782
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
647020
CA
Other
Enumeration date
01/17/2007
Last updated
01/03/2022
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