Marwa Sahra Mehdavi
Student in an Organized Health Care Education/Training Program in Fremont, CA. Individual provider (NPI-1).
NPI number1245077445
StatusActive
Last updated in NPPESJul 15, 2024
Details
- NPI
- 1245077445
- Entity type
- Individual (NPI-1)
- Name
- Marwa Sahra Mehdavi
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2024
- Certification date
- Jul 15, 2024
- Last updated
- Jul 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | 390200000X | CA | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
39510 Paseo Padre Pkwy Ste 190Fremont, CA 94538-4716
Phone 510-403-5916
Mailing address
39510 Paseo Padre Pkwy Ste 190Fremont, CA 94538-4716
Phone 510-403-5916
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All 149 Student in an Organized Health Care Education/Training Program providers in Fremont · All 5,684 providers in Fremont
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