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Individual

STEPHANIE RUTH NANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
565 BRUNSWICK RD STE 1, GRASS VALLEY, CA 95945-9529
(530) 274-7197
Mailing address
565 BRUNSWICK RD STE 1, GRASS VALLEY, CA 95945-9529
(530) 274-7197

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
20A8801
CA

Other

Enumeration date
07/19/2007
Last updated
06/17/2011
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