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Individual

ATIQ MOHAMMAD GHANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
12580 CAMINITO DE LA GALLARDA, SAN DIEGO, CA 92128-2376
(858) 776-7627
Mailing address
12580 CAMINITO DE LA GALLARDA, SAN DIEGO, CA 92128-2376
(858) 776-7627

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
B2021005193
CA

Other

Enumeration date
06/10/2025
Last updated
06/10/2025
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