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Individual
MARYAM BANAN
Active
Individual
MARYAM BANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95026109
CA
363LA2100X
Acute Care Nurse Practitioner
95026109
CA
Other
Enumeration date
08/15/2023
Last updated
12/04/2024
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