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Individual

KAY ZAGARIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1209 WOODROW AVE, SUITE B-10, MODESTO, CA 95350-1288
(209) 558-5312
Mailing address
830 SCENIC DR, SUITE B, MODESTO, CA 95350-6131
(209) 558-7000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP12514
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN283412
MEDICAL PROVIDER NUMBER
CA
Enumeration date
07/16/2006
Last updated
07/08/2007
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