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
ZIP Code
92555-5609
Phone
(951) 242-8875

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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