Individual
TXAWJVAAG ROCKY VANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
42 N SHELLY AVE, FRESNO, CA 93727-3648
(559) 348-3871
Mailing address
42 N SHELLY AVE, FRESNO, CA 93727-3648
(559) 348-3871
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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