NICKI SADEGHIPOUR

PHILADELPHIA, PA
NPI1710526942
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: PA  MA061084)
Enumeration Date2020-01-06
Last Update Date2020-01-14
Business Address
NICKI SADEGHIPOUR
3401 N BROAD ST
PHILADELPHIA, PA 19140-5189
Phone number: 215-707-2000
Mailing Address
NICKI SADEGHIPOUR
412 N FRONT ST UNIT 29
PHILADELPHIA, PA 19123-4238
Phone number: 267-614-6269