JERRY MOUA

FRESNO, CA
NPI1548806714
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA  95108299)
Enumeration Date2019-11-22
Last Update Date2019-11-22
Business Address
JERRY MOUA
4411 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-453-1008
Mailing Address
JERRY MOUA
4411 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-453-1008