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Manju Mathew
Family Nurse Practitioner in Modesto, California
NPI 1821872235

Manju Mathew is a Family Nurse Practitioner based in Modesto, CA and is specialized in Family. Manju Mathew practices in Modesto, CA. The NPI Number for Manju Mathew is 1821872235 and holds a License No. 95025148 (California).

The current practice location address for Manju Mathew is 1608 Tully Rd, Modesto, CA and can be reached out via phone at 209-409-8589.

Location: 1608 Tully Rd, Modesto, CA, 95355-8646
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821872235
Provider Name
Manju Mathew
Credential
Provider Entity Type
Individual
Gender
Female
Address
1608 Tully Rd, Modesto, CA, 95355-8646
Phone Number
209-409-8589
Fax Number
Provider Enumeration Date
08/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1608 Tully Rd
City
Modesto
State
California
Zip
95350-4031
Phone Number
209-409-8589
Fax Number
person
Provider Business Mailing Address Details
Address
1608 Tully Rd
City
Modesto
State
California
Zip
95350-4031
Phone Number
209-409-8589
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95025148 (California)
Definition
Definition to come...
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