Individual
MARYAM IRANPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
129 BALLAST WAY, FOLSOM, CA 95630-8016
(408) 796-9084
Mailing address
129 BALLAST WAY, FOLSOM, CA 95630-8016
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
34670
CA
227900000X
Registered Respiratory Therapist
Primary
34670
CA
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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