CONNIE TARA AKHAVANHAIDARY

LONG BEACH, CA
NPI1043084692
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-11-14
Last Update Date2023-11-14
Business Address
CONNIE TARA AKHAVANHAIDARY
5901 E 7TH ST # 12-160
LONG BEACH, CA 90822-5201
Phone number: 562-826-5407
Mailing Address
CONNIE TARA AKHAVANHAIDARY
6 ANDANDO
ALISO VIEJO, CA 92656-5292
Phone number: 949-613-0404