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Search › California › 104100000X

Anushua Mall, MASTER

NPI 1740338367 · on the registry since 2007 · sole proprietor

Practice

Address
2101 Courage Dr
Fairfield, CA 94533
Phone
(707) 784-4990
Organisation at this address
County Of Solano
County Of Solano
County Of Solano
County Of Solano
County Of Solano
Inferred from a shared address, not stated in the registry.
Clinicians at this address
419

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-07-11

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