MINA KHODABANDEH

SHREVEPORT, LA
NPI1043992779
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-08-02
Last Update Date2023-08-02
Business Address
MINA KHODABANDEH
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-4092
Mailing Address
MINA KHODABANDEH
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: