Individual
AAKASH KOIRALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
344 E 6TH ST, MADERA, CA 93638-3631
(559) 664-4000
(559) 675-5224
Mailing address
510 S MADERA AVE, MADERA, CA 93637-5552
(559) 871-0070
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92865152F67131
—
CA
Enumeration date
03/01/2018
Last updated
03/01/2018
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