Individual
AZIN TAVAKOLI ISFAHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26024 ACERO, MISSION VIEJO, CA 92691-2768
(949) 755-6443
Mailing address
26024 ACERO, MISSION VIEJO, CA 92691-2768
(949) 755-6443
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
86088
CA
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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