MARYAM MODIRROUSTA

APPLE VALLEY, CA
NPI1548514565
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: CA  NMW1949)
Enumeration Date2012-10-29
Last Update Date2021-12-08
Business Address
Mrs. MARYAM MODIRROUSTA CNM, NP
18300 US HIGHWAY 18
APPLE VALLEY, CA 92307-2206
Phone number: 706-242-2311
Mailing Address
Mrs. MARYAM MODIRROUSTA CNM, NP
18300 US HIGHWAY 18
APPLE VALLEY, CA 92307-2206
Phone number: 706-242-2311