Individual
SMITA NAGAVALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
3456 N CACTUS CT, HANFORD, CA 93230-8300
(559) 582-1111
(559) 410-8737
Mailing address
3456 N CACTUS CT, HANFORD, CA 93230-8300
(559) 582-1111
(559) 410-8737
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D7120793
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BAP834135
INSURANCE BUSINESS
—
Enumeration date
07/27/2010
Last updated
10/06/2010
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