SHIVA KHOSRAVI MOGHADAM

KIRKLAND, WA
NPI1891065660
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WA  PH00043094)
Enumeration Date2012-01-10
Last Update Date2012-01-10
Business Address
-- SHIVA KHOSRAVI MOGHADAM RPH
12405 NE 85TH ST
KIRKLAND, WA 98033-8032
Phone number: 425-822-9202
Mailing Address
-- SHIVA KHOSRAVI MOGHADAM RPH
12430 93RD AVE NE
KIRKLAND, WA 98034-5913
Phone number: 818-744-0283