Individual
MARYAM SANJARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11234 ANDERSON ST,, GME OFFICE, CSP 21005, LOMA LINDA, CA 92354-2804
(909) 558-4918
Mailing address
606 E MILL ST, SAN BERNARDINO, CA 92415-0620
(909) 383-3001
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
A133187
CA
Other
Enumeration date
05/01/2012
Last updated
03/09/2017
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