NPI 1104436732

Henna Mohammad

Practitioner Physician Assistant Moreno Valley, CA

Practice location

Address: 24060 Fir Ave STE a, Moreno Valley, CA 92553-2895
Phone: (951) 247-8005

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA58385 (CA)

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Registry record

NPI: 1104436732
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Aug 2020
Record last updated: 17 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.