Individual
ELAINE XIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
3676 E SHIELDS AVE, FRESNO, CA 93726-6922
(559) 600-6707
Mailing address
2301 N GRANTLAND AVE, FRESNO, CA 93723-9233
(559) 892-9080
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
08/04/2025
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