DAVIS MOINDI OPENDA

MODESTO, CA
NPI1497147409
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95005007)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: MN  AG0814094)
Enumeration Date2015-02-27
Last Update Date2022-07-21
Business Address
-- DAVIS MOINDI OPENDA N.P.
1552 COFFEE RD STE 200
MODESTO, CA 95355-3122
Phone number: 209-248-7168
Mailing Address
-- DAVIS MOINDI OPENDA N.P.
1552 COFFEE RD STE 200
MODESTO, CA 95355-3122
Phone number: 209-248-7168