WA VANG

STOCKTON, CA
NPI1376961508
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-04-04
Last Update Date2014-04-04
Business Address
-- WA VANG
929 S SAN JOAQUIN ST
STOCKTON, CA 95206-1415
Phone number: 209-684-3683
Mailing Address
-- WA VANG
929 S SAN JOAQUIN ST
STOCKTON, CA 95206-1415
Phone number: 209-684-3683