Individual
NISHA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6487 MAIN AVE, ORANGEVALE, CA 95662-4309
(916) 990-9400
Mailing address
6487 MAIN AVE, ORANGEVALE, CA 95662-4309
(916) 990-9400
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
342700157
CA
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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