Most Relevant Information
Provider Data
| NPI Number: | 1003276239 |
| Provider Name: | SIA VANG LVN |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | 290917 |
Most Important Dates
| Enumeration Date: | 03/01/2016 |
| Last Updated: | 10/17/2016 |
Provider Practice Location
1688 W MORRIS AVE
FRESNO
CA
937112341
Practice Location Phone/Fax
| Phone: | 5597044325 |
| Fax: |
Provider Mailing Location
1688 W MORRIS AVE
FRESNO
CA
937112341
Provider Mailing Phone/Fax
| Phone: | 5597044325 |
| Fax: |