Individual
DINAH ELMESEWDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
975 S FAIRMONT AVE, LODI, CA 95240-5118
(209) 334-3411
Mailing address
156 PARNASSUS AVE, APT 6, SAN FRANCISCO, CA 94117-4252
(415) 566-6694
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
19445
CA
Other
Enumeration date
01/17/2010
Last updated
02/11/2022
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