Thek Mouanoutoua PA-C

NPI 1275772964 - Physician Assistant - 363A00000X

NPI Details
NPI 1275772964
Gender Male
Enumeration Date 02/19/2009
Last Updated 12/21/2011
Entity Type Individual
Active Over 7 years ago
Practice Location
4929 E KINGS CANYON RD
FRESNO CA, 93727-3812, US
Phone (559) 255-6476
Fax
Business Location
4929 E. KINGS CANYON ROAD
FRESNO CA, 93727-3812, US
Phone (559) 255-6476
Fax
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number 20176
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According to our database, Mr. Thek Mouanoutoua PA-C NPI is 1275772964, taxonomy code is 363A00000X and license number is 20176, license state is located at California. Thek Mouanoutoua PA-C physically located at 4929 E Kings Canyon Rd, Fresno CA, 93727-3812. NPI Number Thek Mouanoutoua PA-C has the Individual type.

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1275772964 NPI number is provided on an as is basis without warranty of any kind. 1275772964 is maintained by the National Plan & Provider Enumeration System. The contents of Thek Mouanoutoua PA-C are for informational purposes only.