Individual
DAVIS MOINDI OPENDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
1552 COFFEE RD STE 200, MODESTO, CA 95355-3122
(209) 248-7168
(209) 846-9641
Mailing address
1552 COFFEE RD STE 200, MODESTO, CA 95355-3122
(209) 248-7168
(209) 846-9641
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95005007
CA
363L00000X
Nurse Practitioner
AG0814094
MN
Other
Enumeration date
02/27/2015
Last updated
07/21/2022
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