Individual
ANWULI ALEXANDRA ANYAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 550-4770
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
20A18088
CA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
5101021846
MI
Other
Enumeration date
06/22/2015
Last updated
07/22/2020
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