Individual
MARIAM JANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACS LION
Contact information
Practice address
2525 CAMINO DEL RIO S STE 125, SAN DIEGO, CA 92108-3742
(619) 606-0031
Mailing address
6614 NORMAN LN, SAN DIEGO, CA 92120-3949
(619) 606-0031
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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