KHODADAD KHAIRANDISH

FORT PIERCE, FL
NPI1386445724
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-03-21
Last Update Date2025-03-25
Business Address
KHODADAD KHAIRANDISH
1700 S 23RD ST
FORT PIERCE, FL 34950-4803
Phone number: 772-468-4554
Mailing Address
KHODADAD KHAIRANDISH
1700 S 23RD ST
FORT PIERCE, FL 34950-4803
Phone number: 772-468-4554