Provider Demographics
NPI:1427879923
Name:RAHMAN, JANNAH A
Entity type:Individual
Prefix:
First Name:JANNAH
Middle Name:A
Last Name:RAHMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9720 FLOWER ST APT 214
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-5879
Mailing Address - Country:US
Mailing Address - Phone:562-449-1164
Mailing Address - Fax:
Practice Address - Street 1:9720 FLOWER ST APT 214
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-5879
Practice Address - Country:US
Practice Address - Phone:562-449-1164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide