Maryam Bana Mansouri OMD

NPI 1417025511 - Acupuncturist - 171100000X

NPI Details
NPI 1417025511
Gender Female
Enumeration Date 11/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
14785 JEFFREY RD
STE 102
IRVINE CA, 92618, US
Phone (949) 651-0044
Fax
Business Location
16 LANCEWOOD WAY
IRVINE CA, 92612, US
Phone (949) 302-5921
Fax
Toxanomy
Taxonomy Code 171100000X
License State California
License Number AC8145
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According to our database, Dr. Maryam Bana Mansouri OMD NPI is 1417025511, taxonomy code is 171100000X and license number is AC8145, license state is located at California. Maryam Bana Mansouri OMD physically located at 14785 Jeffrey Rd, Irvine CA, 92618. NPI Number Maryam Bana Mansouri OMD has the Individual type.

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1417025511 NPI number is provided on an as is basis without warranty of any kind. 1417025511 is maintained by the National Plan & Provider Enumeration System. The contents of Maryam Bana Mansouri OMD are for informational purposes only.