Individual
PRIYANKA DAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4704 BRANDING IRON DR, FAIRFIELD, CA 94534-7468
(714) 930-3296
Mailing address
4704 BRANDING IRON DR, FAIRFIELD, CA 94534-7468
(714) 930-3296
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
95024376
CA
163WG0000X
General Practice Registered Nurse
Primary
95190498
CA
Other
Enumeration date
01/05/2023
Last updated
04/12/2023
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