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DIBA ATAIE

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1851525760

Individual Registrant:
 DIBA  ATAIE 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
42 LELAND DR  NOVATO, CA 94947-2905 US
Tel: 415-897-5489  Fax: --

Contact information for business:
42 LELAND DR  NOVATO, CA 94947-2905 US
Tel: 415-897-5489  Fax: --

Registration Information:
NPI: 1851525760
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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