Individual
MRS. MOHINI L PRASAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3208 COHO DR, MODESTO, CA 95355-7903
(209) 551-3391
Mailing address
3208 COHO DR, MODESTO, CA 95355-7903
(209) 551-3391
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN 254029
CA
164X00000X
Licensed Vocational Nurse
VN 254029
CA
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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