Individual
AIYANA TORIN VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5325 N FRESNO ST STE 106, FRESNO, CA 93710-6849
(297) 887-7418
Mailing address
374 E PELICAN CT, FRESNO, CA 93730-1254
(559) 999-1982
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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