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Sumana Mahata

Student in an Organized Health Care Education/Training Program in Moreno Valley, CA. Individual provider (NPI-1).

NPI number1235834904
StatusActive
Last updated in NPPESApr 3, 2023

Details

NPI
1235834904
Entity type
Individual (NPI-1)
Name
Sumana Mahata
Sex
Female
Sole proprietor
No
Enumeration date
Apr 3, 2023
Certification date
Apr 3, 2023
Last updated
Apr 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

26520 Cactus Ave Rm Ms 2117
Moreno Valley, CA 92555-3927

Phone 951-486-4753 · Fax 951-486-4560

Mailing address

26520 Cactus Ave Rm Ms 2117
Moreno Valley, CA 92555-3927

Phone 951-486-4753 · Fax 951-486-4560

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