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Individual

ALISHA M SHRESTHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
390 NORTH LOOP ROAD, FORT IRWIN, CA 92310-5109
(760) 380-4158
Mailing address
BLDG 295, B AVE, FORT IRWIN, CA 92310
(760) 380-4158

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1169358
363A00000X
Physician Assistant

Other

Enumeration date
02/25/2020
Last updated
08/02/2021
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