Individual
HIMAJA KENCHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 COTTAGE AVE STE 103, MANTECA, CA 95336-4935
(209) 624-5800
Mailing address
690 SW 1ST CT APT 2704, MIAMI, FL 33130-2928
(408) 333-1122
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A201647
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2022
Last updated
03/25/2025
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