HOOMAT KHADIVIAN

RICHMOND, CA
NPI1093066771
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-09-21
Last Update Date2012-09-21
Business Address
-- HOOMAT KHADIVIAN
1313 CUTTING BLVD
RICHMOND, CA 94804-2554
Phone number: 510-232-0874
Mailing Address
-- HOOMAT KHADIVIAN
1313 CUTTING BLVD
RICHMOND, CA 94804-2554
Phone number: 510-232-0874
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