Individual
CHIA THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN 697698
Contact information
Practice address
258 N BLACKSTONE AVE, FRESNO, CA 93701-1913
(559) 274-0299
Mailing address
565 GREENFIELD AVE, CLOVIS, CA 93611-6871
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
697698
CA
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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