Individual
KATHY PANG VANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24321 COUNTY ROAD 96, DAVIS, CA 95616-9532
(530) 753-1653
Mailing address
24321 COUNTY ROAD 96, DAVIS, CA 95616-9532
(530) 753-1653
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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