VIDA ALEXANDRA IMANI

LEXINGTON, KY
NPI1245071687
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KY  PA3548)
Enumeration Date2024-05-31
Last Update Date2025-01-28
Business Address
VIDA ALEXANDRA IMANI PA-C
2405 HARRODSBURG RD
LEXINGTON, KY 40504-3329
Phone number: 859-278-9492
Mailing Address
VIDA ALEXANDRA IMANI PA-C
801 YORK ST
MANITOWOC, WI 54220-4630
Phone number: 920-663-9008