Individual
GANAISHA CALVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1942 E NILES AVE, FRESNO, CA 93720-2344
(559) 323-4957
Mailing address
7120 N MARKS AVE STE 110, FRESNO, CA 93711-0268
(559) 439-5437
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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