Individual
FAY KOUANG SAELEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4411 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 453-1008
Mailing address
6121 N THESTA ST, FRESNO, CA 93710-8603
(559) 538-1727
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
734309
CA
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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