Individual
CHONG MANDY HEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2042 KERN ST, FRESNO, CA 93721-2008
(559) 400-6420
Mailing address
6510 E BUCKEYE AVE, FRESNO, CA 93727-6859
(559) 906-0888
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
682730
CA
363LF0000X
Family Nurse Practitioner
682730
CA
363LF0000X
Family Nurse Practitioner
Primary
95015989
CA
Other
Enumeration date
09/18/2020
Last updated
12/07/2020
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