Individual
AGI NAYA TAKINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 MEDICAL PLAZA DR STE 190, ROSEVILLE, CA 95661-2867
(916) 679-3590
Mailing address
1300 ETHAN WAY STE 600, SACRAMENTO, CA 95825-2296
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95023983
CA
Other
Enumeration date
08/21/2019
Last updated
10/16/2024
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