Individual
AKSHA CHANDRA MAHARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
332 NORTHGATE DR, MANTECA, CA 95336-3139
(209) 422-3548
Mailing address
332 NORTHGATE DR, MANTECA, CA 95336-3139
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
95093964
CA
363LF0000X
Family Nurse Practitioner
Primary
95019684
CA
Other
Enumeration date
02/06/2019
Last updated
05/19/2022
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