Individual
CHONG MOUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1944 M ST, MERCED, CA 95340-3707
(209) 385-7692
(209) 725-8873
Mailing address
1944 M ST, MERCED, CA 95340-3707
(209) 385-7692
(209) 725-8873
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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