Individual
AMNEH YACOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10800 MAGNOLIA AVE # 242, RIVERSIDE, CA 92505-3043
(833) 574-2273
Mailing address
10800 MAGNOLIA AVE # 242, RIVERSIDE, CA 92505-3043
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
10/25/2024
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