Individual
MAHDERE NEGASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1200 N MAIN ST, SUITE # 525, SANTA ANA, CA 92701-3640
(741) 480-4628
(714) 480-4616
Mailing address
1200 N MAIN ST, SUITE # 525, SANTA ANA, CA 92701-3640
(741) 480-4628
(714) 480-4616
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
451566
CA
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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