Individual
MS. NINA YA LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2725 MENDOCINO AVE, SANTA ROSA, CA 95403-2805
(707) 545-4537
Mailing address
2725 MENDOCINO AVE, SANTA ROSA, CA 95403-2805
(707) 542-6313
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
54213
CA
Other
Enumeration date
02/16/2017
Last updated
05/05/2022
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