Individual
AMITASHA MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
275 W HERNDON AVE, CLOVIS, CA 93612-0204
(559) 324-6200
(559) 324-6280
Mailing address
PO BOX 28949, FRESNO, CA 93729-8949
(559) 228-4200
(559) 224-3920
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A123049
CA
Other
Enumeration date
01/23/2013
Last updated
04/07/2020
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