Individual
NIYATI VYARAWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17612 17TH ST, TUSTIN, CA 92780-1962
(714) 243-5450
Mailing address
10311 BRENTFORD AVE, BAKERSFIELD, CA 93311-3588
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95021614
CA
Other
Enumeration date
07/17/2022
Last updated
07/17/2022
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