Individual
MRS. HALA MARIE AZMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MMS
Contact information
Practice address
301 W REDLANDS BLVD, REDLANDS, CA 92373-4633
(909) 335-1900
Mailing address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-5000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
54402
CA
Other
Enumeration date
05/01/2017
Last updated
12/14/2021
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