Individual
MARAL SHABAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
577 E ELDER ST STE H, FALLBROOK, CA 92028-3079
(760) 645-3447
(951) 200-4396
Mailing address
2192 SWEETBRIAR RD, TUSTIN, CA 92780-6906
(714) 585-6197
(951) 200-4396
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM585
CA
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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