Individual
MS. CHRISTINA NOUANESYMANIVANH NAVARRO I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4441 E KINGS CANYON RD, FRESNO, CA 93702-3604
(150) 327-6480
Mailing address
3123 E RIALTO AVE, FRESNO, CA 93726-1603
(559) 475-3048
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
703303
CA
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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