Asieh Moghaddam
NPI #1144886821 in Sebastopol, California
Provider Information
- NPI Number
- 1144886821
- Entity Type
- Individual
- Name
- Asieh Moghaddam
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- May 17, 2019
- Last Updated
- May 17, 2019
Practice Location
- Address
- 6877 SEBASTOPOL AVE
- City
- Sebastopol
- State
- California
- ZIP Code
- 95472-3416
- Phone
- (707) 823-7209
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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