Healthcare Provider Details

I. General information

NPI: 1184543563
Provider Name (Legal Business Name): MS. CONSTANCE KALIA VANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1143 S MCKELVEY AVE
FRESNO CA
93727-0844
US

IV. Provider business mailing address

1143 S MCKELVEY AVE
FRESNO CA
93727-0844
US

V. Phone/Fax

Practice location:
  • Phone: 559-712-0976
  • Fax:
Mailing address:
  • Phone: 559-712-0976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberY7737651
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: