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Individual

MISS PRIYANKA ASHEYA NANDANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1141 PEAR TREE LN, NAPA, CA 94558-6484
(209) 404-6940
Mailing address
601 PARK MEADOW DR, MODESTO, CA 95358-6058
(209) 404-6940

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
65127
CA

Other

Enumeration date
07/06/2022
Last updated
10/30/2024
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