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1699322495
NISHA N SHAH
LOS ANGELES, CA
NPI
1699322495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 57174)
Enumeration Date
2019-08-26
Last Update Date
2019-12-21
Business Address
NISHA N SHAH
111 N LAYTON DR
LOS ANGELES, CA 90049-2019
Phone number: 310-500-8803
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Mailing Address
NISHA N SHAH
1710 CAMINO PALMERO ST APT 18
LOS ANGELES, CA 90046-2954
Phone number: 310-500-8803
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