Individual
AMENNAH S. MOGHADDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4361 RAILROAD AVE, PLEASANTON, CA 94566-6611
(925) 462-1755
Mailing address
4361 RAILROAD AVE, PLEASANTON, CA 94566-6611
(925) 462-1755
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95000419
CA
Other
Enumeration date
05/21/2014
Last updated
12/27/2016
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