KONGMONG MOUA

FRESNO, CA
NPI1811009244
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  15640)
Enumeration Date2006-08-31
Last Update Date2011-12-09
Business Address
-- KONGMONG MOUA pa
4929 E KINGS CANYON RD
FRESNO, CA 93727-3812
Phone number: 559-255-6476
Mailing Address
-- KONGMONG MOUA pa
4929 E KINGS CANYON RD
FRESNO, CA 93727-3812
Phone number: 559-255-6476
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