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Enamulhaq Mirzay, COTA

NPI 1497418610 · on the registry since 2021

Practice

Address
1319 N Madison St
Stockton, CA 95202
Phone
(209) 466-4341
Organisation at this address
Stockton Congregational Homes
Stockton Congregational Homes
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-10-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California