Individual
MANORAMA RANI G PATWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3755 BEACON AVE, FREMONT, CA 94538-1411
(510) 796-7796
Mailing address
4122 BELL CMN, FREMONT, CA 94536-6900
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95008729
CA
Other
Enumeration date
01/02/2018
Last updated
05/06/2019
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