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Individual

ANNA KAYANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGNP-BC

Contact information

Practice address
5353 G ST, CHINO, CA 91710-5249
(626) 408-5927
Mailing address
517 S MYRTLE AVE, STE 101, MONROVIA, CA 91016-6100
(626) 408-5927
(626) 358-0322

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00785200
NJ
363L00000X
Nurse Practitioner
Primary
95015396
CA
363LG0600X
Gerontology Nurse Practitioner
26NJ00785200
NJ
363LG0600X
Gerontology Nurse Practitioner
95015396
CA

Other

Enumeration date
07/18/2017
Last updated
09/18/2020
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