Individual
DIVYA LAKSHMI KOLLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
935 MARKET ST, YUBA CITY, CA 95991-4217
(530) 674-4261
(530) 674-4269
Mailing address
935 MARKET ST, YUBA CITY, CA 95991-4217
(530) 674-4261
(530) 674-4269
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
53445
CA
Other
Enumeration date
07/19/2016
Last updated
05/31/2019
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