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Individual

ANGIE NAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1107 W POPLAR AVE, PORTERVILLE, CA 93257-5839
(877) 960-3426
Mailing address
187 FAIRGROUNDS DR, SACRAMENTO, CA 95817-2407
(909) 702-0083

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
56581
CA

Other

Enumeration date
03/17/2019
Last updated
03/17/2019
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