ANISHA TARA SHAH

MODESTO, CA
NPI1104673185
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-05-06
Last Update Date2024-05-06
Business Address
ANISHA TARA SHAH DO
4601 DALE RD
MODESTO, CA 95356-9718
Phone number: 209-735-5000
Mailing Address
ANISHA TARA SHAH DO
4601 DALE RD
MODESTO, CA 95356-9718
Phone number:
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