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Individual

JENNIFER GHAHYASI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
724 S BIRCHLEAF DR, ANAHEIM, CA 92804-3241
(877) 612-5477
Mailing address
3100 ROOSEVELT WAY, COSTA MESA, CA 92626-2716
(714) 396-4321

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
306005637
CA

Other

Enumeration date
02/04/2022
Last updated
02/04/2022
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