Individual
AMEENAH DURRIYYAH MUHAMMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12815 HEACOCK ST, MORENO VALLEY, CA 92553-3116
(866) 984-7483
Mailing address
12815 HEACOCK ST, MORENO VALLEY, CA 92553-3116
(866) 984-7483
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A134711
CA
Other
Enumeration date
01/18/2011
Last updated
12/15/2021
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