BEST WOUND AND DIABETES CARE INC
Osteopathic Medicine at Fresno St, Fresno, CA

License number
California 209790
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. KHAMPHA THEPHAVONG D.O.
Title: PRESIDENT/CEO
Phone: (559) 226-1284
Address
Address
2205 N Fresno St, Fresno, CA 93703
National Provider ID: 1932546934
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Best Wound and Diabetes Care, Inc

2205 N Fresno St, Fresno, CA 93703

Industry:
Nonclassifiable Establishments
Registration:
Mar 4, 2013
State ID:
03556682
Business type:
Articles of Incorporation
President:
Khampha Thephavong (President)

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