Nina T Vasiliev, PAC

NPI #1972661874 in Folsom, California

Provider Information

NPI Number: 1972661874
Entity Type: Individual
Name: Nina T Vasiliev, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Dec 4, 2006
Last Updated: Mar 7, 2023

Practice Location

Address: 1561 CREEKSIDE DRIVE
Address 2: SUITE 170
City: Folsom
State: California
ZIP Code: 95630
Phone: (916) 983-5557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Obstetrics & Gynecology - Gynecologic Oncology — Gynecologic Oncology	207VX0201X

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