Individual
MRS. ANASTACIA KAY AMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3000 Q ST, SACRAMENTO, CA 95816-7058
(916) 733-3310
(916) 733-5378
Mailing address
3000 Q ST, DEPT OF UROLOGY, SACRAMENTO, CA 95816-7058
(916) 733-3310
(916) 733-5378
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
19329
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
975211
—
AZ
Enumeration date
11/27/2005
Last updated
01/11/2022
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