Individual
MARYAM KOHANBANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA,CNOR
Contact information
Practice address
19208 JAMBOREE RD, UCI IRVINE, NORTH CAMPUS CENTER FOR ADVANCED CARE, IRVINE, CA 92612
(657) 579-3650
Mailing address
406 W AZEELE ST, TAMPA, FL 33606-2297
(901) 283-4227
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
95069260
CA
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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