Jerry Vang
Non-emergency Medical Transport (VAN) in Fresno, CA. Individual provider (NPI-1).
NPI number1154022010
StatusActive
Last updated in NPPESMar 16, 2023
Details
- NPI
- 1154022010
- Entity type
- Individual (NPI-1)
- Name
- Jerry Vang
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 16, 2023
- Certification date
- Mar 16, 2023
- Last updated
- Mar 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | B049162 | CA | Yes |
Practice location
4879 E Atchison AveFresno, CA 93725-1201
Phone 559-570-4948
Mailing address
4879 E Atchison AveFresno, CA 93725-1201
Phone 559-570-4948
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