Individual
IMADE OSAGHAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1510 N LAFAYETTE AVE, FRESNO, CA 93728-1100
(559) 457-6860
(559) 457-6859
Mailing address
1510 N LAFAYETTE AVE, FRESNO, CA 93728-1100
(559) 457-6860
(559) 457-6859
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
52013
CA
Other
Enumeration date
10/06/2014
Last updated
10/31/2022
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