POONAM PRANITA CHANDRA

MODESTO, CA
NPI1992010268
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  NPF19930)
Additional Taxonomies363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: CA  19930)
Enumeration Date2010-08-11
Last Update Date2016-10-19
Business Address
-- POONAM PRANITA CHANDRA N.P.
1409 E BRIGGSMORE AVE
MODESTO, CA 95355-2707
Phone number: 209-550-4720
Mailing Address
-- POONAM PRANITA CHANDRA N.P.
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-521-6097