Individual
DR. ALALEH SEYSAN KHADEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 W FM 544, WYLIE, TX 75098-3913
(704) 905-6877
Mailing address
3400 OLIVIA DR, WYLIE, TX 75098-7445
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
55862
TX
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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