| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Mariana Concepcion Moualem | [sources] | |||
| Alias | aka Perez, Mariana C. aka Perez, Maria aka Perez, Rosa | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Mariana | [sources] | |||
| Last name | Moualem | [sources] | |||
| Middle name | Concepcion | [sources] | |||
| NPI | 1003187915 | [sources] | |||
| Registration number | 21556 · 704316 · 84616 | [sources] | |||
| Sector | Nurse Practitioner · Nurse Practitioner Furnishing · Public Health Nurse · Registered Nurse | [sources] | |||
| Address | 676 S. Rosemead Blvd, Pasadena, CA 91107 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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