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Organization

FOLSOM PHYSICAIN ASSISTANT FIRST ASSIST, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NINA T VASILIEV PA (PRESIDENT/PHYSICIAN ASSISTANT)
(209) 260-6752
Entity
Organization

Contact information

Practice address
NINA VASILIEV PA-C, 15407 MULLER RD, PLYMOUTH, CA 95669-9770
(916) 260-6752
Mailing address
NINA VASILIEV PA-C, 15407 MULLER RD, PLYMOUTH, CA 95669-9770
(916) 260-6752

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
13353
CA

Other

Enumeration date
03/22/2018
Last updated
03/22/2018
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