Individual
MARYAM GHAZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
116 W MINNESOTA AVE., MCCLOUD, CA 96057
(530) 964-2040
Mailing address
3421 SUMMIT DR, MOUNT SHASTA, CA 96067-9163
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
18611
CA
Other
Enumeration date
12/10/2018
Last updated
03/10/2026
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