Individual
FIDEL YAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 SCENIC DR BLDG 4, MODESTO, CA 95350-6131
(209) 525-6146
Mailing address
800 SCENIC DR BLDG 4, MODESTO, CA 95350-6131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
732704
CA
Other
Enumeration date
06/15/2021
Last updated
07/14/2022
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