Individual
BAHMAN SHAHLORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DAC
Contact information
Practice address
900 WELLS FARGO, WILLIAMS, AZ 86046-9777
(928) 599-4325
Mailing address
900 WELLS FARGO, WILLIAMS, AZ 86046-9777
(928) 599-4325
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
LAC-011375
AZ
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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