SHAE MORTAZAVI

HARRISON, AR
NPI1831779008
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: AR  0000)
Enumeration Date2021-04-12
Last Update Date2021-04-12
Business Address
SHAE MORTAZAVI QBHP
114 E CRANDALL AVE STE B
HARRISON, AR 72601-3628
Phone number: 870-741-8484
Mailing Address
SHAE MORTAZAVI QBHP
2885 W BATTLEFIELD ST
SPRINGFIELD, MO 65807-3952
Phone number: