Individual
CHAN VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 M ST, RIO LINDA, CA 95673-2218
(916) 287-4067
Mailing address
505 M ST, RIO LINDA, CA 95673-2218
(916) 710-1701
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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