Individual
MS. MEAZA Z KIDANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
19789 MT WASATCH DR, RIVERSIDE, CA 92508-3281
(951) 251-9860
Mailing address
19789 MT WASATCH DR, RIVERSIDE, CA 92508-3281
(951) 512-9860
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
20768
CA
Other
Enumeration date
12/29/2009
Last updated
05/29/2024
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