Individual
SINA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTIONER
Contact information
Practice address
8170 LAGUNA BLVD, ELK GROVE, CA 95758-7901
(916) 691-5996
Mailing address
760 ELSTON WAY, WOODLAND, CA 95776-5125
(530) 665-3488
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95025878
CA
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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