Individual
ATHIRA VINOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(559) 353-3000
Mailing address
657 TAMARINDO WAY, ROSEVILLE, CA 95678-5976
(916) 230-0929
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/25/2026
Last updated
05/25/2026
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