Individual
DIVYA M PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 SPANOS CT STE 111, MODESTO, CA 95355-2812
(209) 521-6097
Mailing address
1401 SPANOS CT STE 111, MODESTO, CA 95355-2812
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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