PHOUA VANG

LODI, CA
NPI1912736521
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TS0200X Psychologist, School
(Licence: CA  240192353)
Enumeration Date2024-07-31
Last Update Date2024-07-31
Business Address
PHOUA VANG
1305 E VINE ST
LODI, CA 95240-3148
Phone number: 209-331-8925
Mailing Address
PHOUA VANG
1701 S MILLS AVE APT 100
LODI, CA 95242-4262
Phone number: 559-575-1426