SHAIDAH DEGHAN MANSHADI

BOSTON, MA
NPI1528745320
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2086S0129X 
(Licence: ZZ  112664)
Additional Taxonomies2086S0129X 
(Licence: MA  1020791)
Enumeration Date2023-07-03
Last Update Date2024-10-30
Business Address
Dr. SHAIDAH DEGHAN MANSHADI
55 FRUIT ST
BOSTON, MA 02114-2621
Phone number: 416-834-7334
Mailing Address
Dr. SHAIDAH DEGHAN MANSHADI
55 FRUIT ST
BOSTON, MA 02114-2621
Phone number:
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