Individual
MS. VANDANA ANILKUMAR GANATRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4441 E KINGS CANYON RD, FRESNO COUNTY DEPARTMENT OF BEHAVIORAL HEALTH, FRESNO, CA 93702-3604
(559) 600-9096
Mailing address
11155 EL CAMINO REAL, APT D, ATASCADERO, CA 93422-6005
(408) 507-1111
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
21887
CA
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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