Individual
BAO M YANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
6285 W MENLO AVE, FRESNO, CA 93722-8509
(559) 348-7842
Mailing address
6285 W MENLO AVE, FRESNO, CA 93722-8509
(559) 348-7842
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN206962
CA
Other
Enumeration date
01/05/2009
Last updated
01/05/2009
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