Individual
MARIAM HABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
(888) 255-2269
Mailing address
11072 VEACH ST, LOMA LINDA, CA 92354-6528
(909) 709-9087
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
91421
CA
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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