Individual provider · NPI-1

Mezghan Azimi Ames

Clinic/Center, Adult Mental Health · Indio, CA

NPI number1295911519
StatusActive
Last updated in NPPESFeb 2, 2021

Details

NPI
1295911519
Entity type
Individual (NPI-1)
Name
Ms. Mezghan Azimi Ames
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 16, 2008
Certification date
Feb 2, 2021
Last updated
Feb 2, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health––Yes
252Y00000X Early Intervention Provider Agency––

Practice location

47825 Oasis St
Indio, CA 92201-6950

Phone 760-332-8449

Mailing address

95 Mahalani St
Suite 19a
Wailuku, HI 96793-2521

Phone 808-244-7467

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