Individual
MISS SOUDABEH SOHEILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27300 IRIS AVE, MORENO VALLEY, CA 92555-4802
(951) 243-0811
Mailing address
27300 IRIS AVE, MORENO VALLEY, CA 92555-4802
(951) 243-0811
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
11117
CA
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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