MAHMOOD FATHOLLAZADEH

COLTON, CA
NPI1386711158
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA12070)
Enumeration Date2006-11-29
Last Update Date2023-07-18
Business Address
MAHMOOD FATHOLLAZADEH PA-C
1850 E WASHINGTON ST
COLTON, CA 92324-4621
Phone number: 909-887-2991
Mailing Address
MAHMOOD FATHOLLAZADEH PA-C
1850 E WASHINGTON ST
COLTON, CA 92324-4621
Phone number: 909-887-2991
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