NISHA ANN ROY
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1063903201- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1923 COFFEE RD STE 12, MODESTO, CA, 953552708
- Phone
- (209) 409-8454
Specialties & Taxonomies
Allergy & Immunology, Allergy
License: CA #NP95008421
Nurse Practitioner
Primary License: CA #NP95008421