Individual
MR. JEDIDIAH VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3050 BEACON BLVD STE 150, WEST SACRAMENTO, CA 95691-3467
(916) 462-3100
Mailing address
3908 33RD ST, SACRAMENTO, CA 95820-1220
(916) 279-4671
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
01/03/2025
Last updated
04/10/2025
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