Individual
GE CHOUA VANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4871 E CESAR CHAVEZ BLVD, FRESNO, CA 93727-3811
(559) 255-8395
Mailing address
4879 E CESAR CHAVEZ BLVD, FRESNO, CA 93727-3811
(559) 351-0026
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
06/05/2025
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