Individual
AMMAR ZANIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501
(661) 378-8577
Mailing address
6665 DI CARLO PL, RANCHO CUCAMONGA, CA 91739-9124
(661) 378-8577
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001220
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/22/2019
Last updated
12/03/2019
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