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Organization
SEIRRA HEALTH CENTER
Active
Organization
SEIRRA HEALTH CENTER
Active
Other names
reproductive health care centre
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANEETA D KUMAR (OFFICE MANAGER)
(209) 526-5770
Entity
Organization
Contact information
Practice address
1801 TULLY RD, SUIT F, MODESTO, CA 95350-2931
(209) 526-5770
(209) 544-1234
Mailing address
1801 TULLY RD STE F, MODESTO, CA 95350-2931
(209) 526-5770
(209) 544-1234
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12831
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA12831
PA12831
CA
Enumeration date
04/25/2008
Last updated
04/25/2008
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