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1174853907
MEAZA Z KIDANE
RIVERSIDE, CA
NPI
1174853907
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Former Name
MEAZA Z KIDANE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA 20768)
Enumeration Date
2009-12-29
Last Update Date
2024-05-29
Business Address
Ms. MEAZA Z KIDANE PA-C
19789 MT WASATCH DR
RIVERSIDE, CA 92508-3281
Phone number: 951-251-9860
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Mailing Address
Ms. MEAZA Z KIDANE PA-C
19789 MT WASATCH DR
RIVERSIDE, CA 92508-3281
Phone number: 951-512-9860
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