Individual
AKTA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 NEVADA ST, REDLANDS, CA 92374-2957
(909) 966-5500
Mailing address
10590 CAMPBELL AVE, RIVERSIDE, CA 92505-1312
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
595016
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95019112
CA
Other
Enumeration date
10/23/2021
Last updated
02/01/2022
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