MR. Thek Mouanoutoua, PA-C
NPI #1275772964 in Fresno, California
Provider Information
- NPI Number
- 1275772964
- Entity Type
- Individual
- Name
- MR. Thek Mouanoutoua, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Feb 19, 2009
- Last Updated
- Dec 21, 2011
Practice Location
- Address
- 4929 E KINGS CANYON RD
- City
- Fresno
- State
- California
- ZIP Code
- 93727-3812
- Phone
- (559) 255-6476
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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