Individual
MARIAM MAHMOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
73305 ROYAL PALM DR APT B, PALM DESERT, CA 92260-2880
(760) 880-0469
Mailing address
73305 ROYAL PALM DR APT B, PALM DESERT, CA 92260-2880
(760) 880-0469
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D3816518
CA
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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