JAY G. WANI, M.D., INC.
Marriage and Family Therapists at Spanos Ct, Modesto, CA

License number
California A32304
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. JAY G WANI M.D.
Title: M.D.
Phone: (209) 525-3113
Address
Address
1401 Spanos Ct SUITE 102, Modesto, CA 95355
National Provider ID: 1215122452
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JAY G. WANI, M.D., INC

1401 Spanos Ct #102, Modesto, CA 95355

Status:
Inactive
Registration:
Mar 26, 1980
State ID:
C0978630
Business type:
Articles of Incorporation
President:
Jay G. Wani President, inactive
Agent:
Jay G Wani,Modesto, CA 95356 (Physical)

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