ROXANNA-ELITISIA ALIZADEH-AZARDOUST

SAN JOSE, CA
NPI1104420736
Other NameROXANNA AZARDOUST
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  718329)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2020-11-24
Last Update Date2023-04-05
Business Address
ROXANNA-ELITISIA ALIZADEH-AZARDOUST
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112-5865
Phone number: 408-938-2113
Mailing Address
ROXANNA-ELITISIA ALIZADEH-AZARDOUST
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112-5865
Phone number: 408-938-2113