Individual
MR. PEZHMAN AHMADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13030 MILITARY RD S FL 2, TUKWILA, WA 98168-3085
(206) 839-3600
Mailing address
1203 N 10TH PL APT 1323, RENTON, WA 98057-5467
(831) 710-5987
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PR61549434
WA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/17/2023
Last updated
07/30/2024
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