SOUDEH KHAYAM-BASHI

STUDIO CITY, CA
NPI1740935303
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: CA  95057258)
Enumeration Date2022-02-12
Last Update Date2022-02-12
Business Address
SOUDEH KHAYAM-BASHI NP
4237 LONGRIDGE AVE UNIT 103
STUDIO CITY, CA 91604-1876
Phone number: 818-268-7089
Mailing Address
SOUDEH KHAYAM-BASHI NP
4237 LONGRIDGE AVE UNIT 103
STUDIO CITY, CA 91604-1876
Phone number: 818-268-7089
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