SHARAREH DERAKHSHANDEH

SAN JOSE, CA
NPI1225216674
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence:   PA18046)
Enumeration Date2008-02-07
Last Update Date2022-04-12
Business Address
Miss SHARAREH DERAKHSHANDEH PA
2425 SAMARITAN DR
SAN JOSE, CA 95124-3908
Phone number: 408-559-2011
Mailing Address
Miss SHARAREH DERAKHSHANDEH PA
2425 SAMARITAN DR
SAN JOSE, CA 95124-3908
Phone number: