Individual
BAHAREH KHAKINEJAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 GRANT AVE APT 4, REDONDO BEACH, CA 90278-4339
(310) 484-9339
Mailing address
2201 GRANT AVE APT 4, REDONDO BEACH, CA 90278-4339
(310) 484-3993
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
82031
CA
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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