| Maristan | |
|
39370 Zacate Ave Fremont CA 94539-3062 | |
| (408) 306-1958 | |
| Not Available |
| Full Name | Maristan |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 39370 Zacate Ave, Fremont, California |
| Authorized Official Name and Position | Mona Midani (TREASURER) |
| Authorized Official Contact | 4083061958 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maristan 39370 Zacate Ave Fremont CA 94539-3062 Ph: () - | Maristan 39370 Zacate Ave Fremont CA 94539-3062 Ph: (408) 306-1958 |
| NPI Number | 1932874674 |
|---|---|
| Provider Enumeration Date | 08/13/2021 |
| Last Update Date | 08/13/2021 |
| Certification Date | 08/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932874674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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