DIVYA PANNALA

MODESTO, CA
NPI1093949703
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A116350)
Enumeration Date2009-05-08
Last Update Date2012-11-26
Business Address
-- DIVYA PANNALA M.D.
3612 DALE RD
MODESTO, CA 95356-0500
Phone number: 209-522-0146
Mailing Address
-- DIVYA PANNALA M.D.
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-521-6097
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