THEK MOUANOUTOUA

FRESNO, CA
NPI1275772964
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  20176)
Enumeration Date2009-02-19
Last Update Date2011-12-21
Business Address
Mr. THEK MOUANOUTOUA PA-C
4929 E KINGS CANYON RD
FRESNO, CA 93727-3812
Phone number: 559-255-6476
Mailing Address
Mr. THEK MOUANOUTOUA PA-C
4929 E. KINGS CANYON ROAD
FRESNO, CA 93727-3812
Phone number: 559-255-6476
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