Provider Demographics
NPI:1669215372
Name:NOORI, AIESHA (N/A)
Entity type:Individual
Prefix:
First Name:AIESHA
Middle Name:
Last Name:NOORI
Suffix:
Gender:F
Credentials:N/A
Other - Prefix:
Other - First Name:AIESHA
Other - Middle Name:
Other - Last Name:NOORI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:8262 ARROYO VISTA DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823
Mailing Address - Country:US
Mailing Address - Phone:916-385-1099
Mailing Address - Fax:
Practice Address - Street 1:8262 ARROYO VISTA DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823
Practice Address - Country:US
Practice Address - Phone:916-385-1099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator