Organization
FRESNO VA
Active
Organization
FRESNO VA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVI MAHINDRA (NURSE PRACTITIONER)
(559) 367-4393
Entity
Organization
Contact information
Practice address
2615 E CLINTON AVE, FRESNO, CA 93703-2223
(559) 225-6100
Mailing address
2615 E CLINTON AVE, FRESNO, CA 93703-2223
(559) 225-6100
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
22016
CA
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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