Individual
DR. NICKEY JAFARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD MPH
Contact information
Practice address
1401 SPANOS CT, MODESTO, CA 95355-2810
(209) 550-4720
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A186860
CA
Other
Enumeration date
04/16/2019
Last updated
09/13/2023
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