Individual
MARIAM KHALED GHANEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1975 4TH ST, SAN FRANCISCO, CA 94143-2351
(415) 476-1000
Mailing address
7575 KIRBY DR APT 3404, HOUSTON, TX 77030-4453
(936) 524-4255
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
95033634
CA
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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