Moualem, Mariana Concepcion

Moualem, Mariana Concepcion is an sole proprietor health care provider with primary practice located at 1800 Western Ave Ste 305 , San Bernardino CA 92411-1354. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Moualem, Mariana Concepcion can be contacted via phone (909) 880-9993.

Contact Information

Primary practice address
1800 Western Ave Ste 305 San Bernardino CA 92411-1354
Phone: (909) 880-9993
Fax: (909) 880-9998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 21556 California

Profile Details

NPI number 1003187915
LBN Legal business name Moualem, Mariana Concepcion
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2012
Last updated Oct 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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