Individual
CYNTHIA M VANATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1144 NORMAN DR, #104, MANTECA, CA 95336-5925
(209) 823-0827
(209) 823-5854
Mailing address
PO BOX 986, WOODBRIDGE, CA 95258-0986
(209) 339-9036
(209) 339-1901
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20A5932
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX59320
—
CA
Enumeration date
07/10/2006
Last updated
12/18/2009
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