Individual
TANVEER HANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4411 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 453-1008
Mailing address
820 CHABLIS LN, COALINGA, CA 93210-3504
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41315
CA
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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