Individual
ABIEVHESE LAWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 SCENIC DR, MODESTO, CA 95350-6131
(209) 353-5157
(209) 558-8315
Mailing address
830 SCENIC DR, MODESTO, CA 95350-6131
(209) 353-5157
(209) 558-8315
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95027850
CA
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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