Individual
MAERAH AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12550 HESPERIA RD STE 100, VICTORVILLE, CA 92395-5873
(760) 381-7703
Mailing address
15791 BEAR VALLEY RD, HESPERIA, CA 92345-1746
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA65731
CA
363AM0700X
Medical Physician Assistant
Primary
PA65731
CA
Other
Enumeration date
01/14/2025
Last updated
01/08/2026
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