Shaista Ansari
NPI #1588282974 in Moreno Valley, California
Provider Information
- NPI Number
- 1588282974
- Entity Type
- Individual
- Name
- Shaista Ansari
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jul 11, 2020
- Last Updated
- Jul 11, 2020
Practice Location
- Address
- 13816 NATHAN PL
- City
- Moreno Valley
- State
- California
- ZIP Code
- 92555-5609
- Phone
- (951) 242-8875
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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| Provider Name | |
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