Individual
ROSHANA AMIR NAZARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 NEVADA ST STE 101, REDLANDS, CA 92374-2957
(909) 966-5500
Mailing address
1030 NEVADA ST SUITE 101, REDLANDS, CA 92374
(714) 468-4177
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95032224
CA
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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