Individual
CHOUR THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2042 KERN ST, FRESNO, CA 93721-2008
(559) 400-6024
Mailing address
6544 E PONTIAC WAY, FRESNO, CA 93727-0809
(623) 217-1548
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95047968
CA
363LF0000X
Family Nurse Practitioner
Primary
95003714
CA
Other
Enumeration date
12/24/2014
Last updated
03/22/2017
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