| NPI | 1902262348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARIBA MAZDEH President 614-889-7513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA11615NP) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |