Individual
AMIR HASNAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
12188 HESPERIA RD, VICTORVILLE, CA 92395-5822
(760) 477-2199
(760) 513-9690
Mailing address
1585 S D ST, SAN BERNARDINO, CA 92408-3257
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95009530
CA
Other
Enumeration date
08/20/2018
Last updated
07/25/2019
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