Individual
DR. ANNIE A MAVIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2101 N WATERMAN AVE, SAN BERNARDINO, CA 92404-4836
(909) 883-8711
Mailing address
45063 CORTE ZORITA, TEMECULA, CA 92592-1062
(818) 269-4863
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A10027
CA
Other
Enumeration date
06/07/2007
Last updated
12/02/2021
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