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Contact Information

MAI DER VANG
4411 E. KINGS CANYON RD
FRESNO, CA93702
 Phone: 559-453-1008
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Vocational Nurse

164X00000X
Indicates primary specialty

NPI Profile & details for MAI DER VANG · (Female)

NPI # 1063081347
Status Active
Credentials
Entity Individual
Enumeration date 06/22/2021
Last updated 05/15/2026 - About 3 weeks ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 293199
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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