MITHRA MOON

HOLLYWOOD, CA
NPI1023587839
Former NameMARIA GOVIND
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  56157)
Enumeration Date2018-11-21
Last Update Date2020-01-20
Business Address
MITHRA MOON PA
1600 VINE ST APT 543
HOLLYWOOD, CA 90028-8825
Phone number: 240-778-8493
Mailing Address
MITHRA MOON PA
1600 VINE ST APT 543
HOLLYWOOD, CA 90028-8825
Phone number: 240-778-8493
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