Individual
MR. MICHAEL AMAZON SARDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
9990 COUNTY FARM RD, SUITE 6, RIVERSIDE, CA 92503-3542
(951) 358-7380
(951) 358-6311
Mailing address
1835 SHERIDAN RD, SAN BERNARDINO, CA 92407-4648
(909) 887-6568
(951) 358-7380
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
344859
CA
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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