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Mamta Shah

NPI 1093092520 · on the registry since 2011 · sole proprietor

Practice

Address
12471 Limonite Ave
T1961
Mira Loma, CA 91752
Phone
(951) 256-5262

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-11-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California