Individual
ATHER IMRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
155 OAK AVE APT 10, WOODLAND, CA 95695-3840
(530) 666-4606
Mailing address
155 OAK AVE APT 10, WOODLAND, CA 95695-3840
(530) 666-4606
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN214526
CA
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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