Doctor Name: | MR. NDZEU HEU |
NPI Number: | 1588034920 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | PA52876 |
Business Practice Address: | 1251 Draper St Kingsburg, CA - 936311934 |
Business Phone Number: | 5598976610 |
Business Fax Number: | |
Mailing Address: | 1251 Draper St, KINGSBURG |
State: | CA |
Postal Code: | 936311934 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/28/2015 |
NPI Last Update Date: | 01/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA52876 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |