EBRAHIM MAMOUR JAGNE

SANTA ANA, CA
NPI1497808497
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: CA  PA 12322)
Enumeration Date2007-01-21
Last Update Date2007-07-08
Business Address
DR. EBRAHIM MAMOUR JAGNE PA
1329 E 1ST ST
SANTA ANA, CA 92701-6310
Phone number: 714-547-6542
Mailing Address
DR. EBRAHIM MAMOUR JAGNE PA
1137 W 58TH PL
LOS ANGELES, CA 90044-3702
Phone number: 310-283-1279