Healthcare Provider Details

I. General information

NPI: 1811328479
Provider Name (Legal Business Name): WASHINGTON UNIFIED SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2013
Last Update Date: 12/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2888 S IVY AVE
FRESNO CA
93706-5513
US

IV. Provider business mailing address

2888 S IVY AVE
FRESNO CA
93706-5513
US

V. Phone/Fax

Practice location:
  • Phone: 559-495-5609
  • Fax: 559-264-0805
Mailing address:
  • Phone: 559-495-5609
  • Fax: 559-264-0805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRIS M VAS
Title or Position: CBO
Credential:
Phone: 559-495-5600