Individual
DR. MAISAM HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
254 GIBSON DR, ROSEVILLE, CA 95678-5881
(916) 351-9355
Mailing address
1100 CARAGH ST, ROSEVILLE, CA 95747-6065
(916) 699-8990
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1334
CA
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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