Individual
MEGAN REA SIDANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 550-4703
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
20A18320
CA
Other
Enumeration date
03/26/2018
Last updated
11/15/2024
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