Shah, Mamta

Shah, Mamta is an sole proprietor health care provider with primary practice located at 12471 Limonite Ave T1961, Mira Loma CA 91752-2457. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Shah, Mamta can be contacted via phone (951) 256-5262.

Contact Information

Primary practice address
12471 Limonite Ave T1961 Mira Loma CA 91752-2457
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 57777 California

Profile Details

NPI number 1093092520
LBN Legal business name Shah, Mamta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2011
Last updated Nov 11th, 2011 - about 14 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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