Individual
MAMTA RANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
6837 E MICHIGAN AVE, FRESNO, CA 93727-1451
(559) 389-3971
Mailing address
6837 E MICHIGAN AVE, FRESNO, CA 93727-1451
(559) 389-3971
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
751584
CA
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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