FALLON NASSIEM AGAHI LOPEZ

SACRAMENTO, CA
NPI1538456090
Other NameFALLON NASSIEM AGAHI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2011-07-06
Last Update Date2019-11-04
Business Address
Ms. FALLON NASSIEM AGAHI LOPEZ
3301 C ST BLDG 550
SACRAMENTO, CA 95816-3300
Phone number: 916-556-3164
Mailing Address
Ms. FALLON NASSIEM AGAHI LOPEZ
3105 CEDAR RAVINE RD STE 201
PLACERVILLE, CA 95667-6561
Phone number: 530-626-1602
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