Individual
ANTONIA MODESTA REYNAGA-RANKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3000 Q ST FL 5, SACRAMENTO, CA 95816-7058
(916) 733-3310
(916) 733-5378
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
1040100
OR
363AS0400X
Surgical Physician Assistant
Primary
PA22878
CA
Other
Enumeration date
11/01/2006
Last updated
12/04/2023
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