Individual
VATSANA VONGSAVANH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1951 N GATEWAY BLVD STE 103, FRESNO, CA 93727-1643
(559) 255-9965
(559) 255-2871
Mailing address
1951 N GATEWAY BLVD STE 103, FRESNO, CA 93727-1643
(559) 255-9965
(559) 255-2871
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
739967
CA
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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