MIRA B AIDASANI

SACRAMENTO, CA
NPI1982900718
Former NameMIRA B AIDASANI-DIWATA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  20469)
Enumeration Date2011-01-26
Last Update Date2022-03-30
Business Address
MIRA B AIDASANI
2016 MORSE AVE
SACRAMENTO, CA 95825-2135
Phone number: 916-973-5000
Mailing Address
MIRA B AIDASANI
2016 MORSE AVE
SACRAMENTO, CA 95825-2135
Phone number: 916-973-5000
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