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Zakiyyah Bogan
NPI 1740010115 · on the registry since 2024
Practice
- Address
- 1536 Playground Way
Modesto, CA 95355 - Phone
- (209) 450-7652
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California