Most Relevant Information
Provider Data
| NPI Number: | 1003589110 |
| Provider Name: | AMY D MAHMOOD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/26/2021 |
| Last Updated: | 07/29/2021 |
Provider Practice Location
1950 S SUNWEST LN STE 200
SAN BERNARDINO
CA
924083248
Practice Location Phone/Fax
| Phone: | 9092524010 |
| Fax: | 9092524055 |
Provider Mailing Location
1950 S SUNWEST LN STE 200
SAN BERNARDINO
CA
924083248
Provider Mailing Phone/Fax
| Phone: | 9092524010 |
| Fax: | 9092524055 |