Individual
ALANA RETA GHANIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
133 W MAIN ST STE 100, EL CAJON, CA 92020-3325
(619) 401-0404
Mailing address
1931 VEREDA CT, EL CAJON, CA 92019-3803
(619) 729-1411
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A192893
CA
Other
Enumeration date
04/02/2021
Last updated
06/14/2024
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