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Individual

AVA SARA HOSSEINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1100 SAN LEANDRO BLVD, SAN LEANDRO, CA 94577-1595
(510) 267-8000
Mailing address
407 E 9TH ST, UPLAND, CA 91786-5340
(909) 297-6366

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95174923
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202101558NP
OR

Other

Enumeration date
03/05/2022
Last updated
04/15/2022
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