Individual
MR. BOUNMY - PINYASONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C, MPAS
Contact information
Practice address
141 N. CLARK STREET, SUITE A, FRESNO, CA 93701-2124
(559) 528-0565
(559) 528-0567
Mailing address
141 N. CLARK STREET, SUITE A, FRESNO, CA 93701-2124
(559) 528-0565
(559) 528-0567
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15674
CA
Other
Enumeration date
04/11/2007
Last updated
09/06/2023
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