Individual
MS. FALLON NASSIEM AGAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4080 CAVITT STALLMAN RD STE 100A, GRANITE BAY, CA 95746-9049
(916) 771-0715
Mailing address
4080 CAVITT STALLMAN RD STE 100A, GRANITE BAY, CA 95746-9049
(916) 771-0715
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CA
Other
Enumeration date
07/06/2011
Last updated
11/14/2025
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