Individual provider · NPI-1

Maryam Agha

Case Manager/Care Coordinator · Riverside, CA

NPI number1750832002
StatusActive
Last updated in NPPESOct 21, 2016

Details

NPI
1750832002
Entity type
Individual (NPI-1)
Name
Miss Maryam Agha
Sex
Female
Sole proprietor
No
Enumeration date
Oct 21, 2016
Last updated
Oct 21, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

3125 Myers St
Riverside, CA 92503-5527

Phone 951-358-4850

Mailing address

3125 Myers St
Riverside, CA 92503-5527

Phone 951-358-4850

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