Individual
MANDANA MOTAMENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W HOSPITAL RD, FRENCH CAMP, CA 95231-9693
(209) 468-6460
Mailing address
500 W HOSPITAL RD, FRENCH CAMP, CA 95231-9693
(209) 468-6460
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
1351
CA
Other
Enumeration date
08/01/2013
Last updated
01/03/2022
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