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NPI Code Detail

MEDICARE: ISABELL TAGKIS VANG

MEDICARE: ISABELL TAGKIS VANG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-25-420397CA

General Provider Information

NPI Number : 1780485284
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISABELL TAGKIS VANG
Provider Business Mailing Address
First Line : 20 N DEWITT AVE
Second Line :
City : CLOVIS
State : CA
Zip : 93612-1066
Country : US
Telephone Number : 559-477-5546
Fax Number :
Provider Business Practice Location Address
First Line : 20 N DEWITT AVE
Second Line :
City : CLOVIS
State : CA
Zip : 93612-1066
Country : US
Telephone Number : 559-477-5546
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2025
Last Update Date : 06/17/2026

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Directions to “ ISABELL TAGKIS VANG ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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