Provider Demographics
NPI:1720830771
Name:NAGI, ZAYNA
Entity Type:Individual
Prefix:
First Name:ZAYNA
Middle Name:
Last Name:NAGI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1088 FISHBACK RD
Mailing Address - Street 2:
Mailing Address - City:MANTECA
Mailing Address - State:CA
Mailing Address - Zip Code:95337-8250
Mailing Address - Country:US
Mailing Address - Phone:209-608-9856
Mailing Address - Fax:
Practice Address - Street 1:1088 FISHBACK RD
Practice Address - Street 2:
Practice Address - City:MANTECA
Practice Address - State:CA
Practice Address - Zip Code:95337-8250
Practice Address - Country:US
Practice Address - Phone:209-608-9856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst