Individual
AYESHA SANNA TARIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4095 COUNTY CIRCLE DR, RIVERSIDE, CA 92503-3410
(951) 529-9329
Mailing address
300 CROSS RAIL LN, NORCO, CA 92860-3945
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19332
CA
Other
Enumeration date
05/22/2025
Last updated
10/02/2025
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