Individual
KATHY J MAGHBOULEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26545 AVENIDA DESEO, MISSION VIEJO, CA 92691-3303
(714) 235-0515
Mailing address
26545 AVENIDA DESEO, MISSION VIEJO, CA 92691-3303
(714) 235-0515
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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