Individual
NINVEH OMLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-5033
(707) 651-3685
Mailing address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-5033
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5107
CA
Other
Enumeration date
06/27/2011
Last updated
12/15/2021
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