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Dr. Mariam Bonyadi Camacho, MD,PHD
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1457937898

Mariam Bonyadi Camacho is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Mariam Bonyadi Camacho practices in San Diego, CA and has the professional credentials of MD,PHD. The NPI Number for Mariam Bonyadi Camacho is 1457937898 and holds a License No. (California).

The current practice location address for Mariam Bonyadi Camacho is 4077 Fifth Ave # Mer35, San Diego, CA and can be reached out via phone at 619-294-8111.

Location: 4077 Fifth Ave # Mer35, San Diego, CA, 92103-2105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457937898
Provider Name
Mariam Bonyadi Camacho
Credential
MD,PHD
Provider Entity Type
Individual
Gender
Female
Address
4077 Fifth Ave # Mer35, San Diego, CA, 92103-2105
Phone Number
619-294-8111
Fax Number
Provider Enumeration Date
03/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4077 Fifth Ave # Mer35
City
San Diego
State
California
Zip
92103-2105
Phone Number
619-294-8111
Fax Number
person
Provider Business Mailing Address Details
Address
4077 Fifth Ave # Mer35
City
San Diego
State
California
Zip
92103-2105
Phone Number
619-294-8111
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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