Individual
MUSARRAT KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14736 WILLOW GROVE PL, MORENO VALLEY, CA 92555-5746
(909) 282-2316
Mailing address
14736 WILLOW GROVE PL, MORENO VALLEY, CA 92555-5746
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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