Organization
FOLSOM PHYSICAIN ASSISTANT FIRST ASSIST, INC
Active
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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