SHAE MORTAZAVI

RUSSELLVILLE, AR
NPI1831779008
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: AR  0000)
Enumeration Date2021-04-12
Last Update Date2025-10-14
Business Address
SHAE MORTAZAVI QBHP
104 LOCK AND DAM RD
RUSSELLVILLE, AR 72802-9725
Phone number: 479-747-5222
Mailing Address
SHAE MORTAZAVI QBHP
104 LOCK AND DAM RD
RUSSELLVILLE, AR 72802-9725
Phone number: 479-747-5222