Individual
WARDA SAARAH SHAMSHAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Mailing address
25590 PROSPECT AVENUE 39H, LOMA LINDA, CA 92354
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
EL6831
CA
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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