Individual
MONESA HAIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2519 NEPTUNE CT, TRACY, CA 95304-5913
(510) 299-5561
Mailing address
2519 NEPTUNE CT, TRACY, CA 95304-5913
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
392701196
CA
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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