THAN AYE AW

FRESNO, CA
NPI1740295419
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RG0300X Internal Medicine, Geriatric Medicine
(Licence: CA  A53206)
Additional Taxonomies261Q00000X Clinic/Center
(Licence: CA  A53206)
314000000X Skilled Nursing Facility
(Licence: CA  A53206)
171100000X Acupuncturist
Enumeration Date2006-07-30
Last Update Date2015-02-13
Business Address
Dr. THAN AYE AW MD
4844 N 1ST ST SUITE # 104
FRESNO, CA 93726-0529
Phone number: 559-221-9088
Mailing Address
Dr. THAN AYE AW MD
4844 N 1ST ST SUITE # 104
FRESNO, CA 93726-0529
Phone number: 559-221-9088