Individual
ANITHA CHOORAKULAM GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 550-3984
Mailing address
10470 OLD PLACERVILLE RD STE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
95010870
CA
Other
Enumeration date
03/09/2019
Last updated
04/10/2019
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