Individual
BAHAREH RACHEL BANAFSHEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
433 N ROXBURY DR, BEVERLY HILLS, CA 90210-5001
(310) 271-6123
Mailing address
10560 WILSHIRE BLVD, LOS ANGELES, CA 90024-4580
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
75754
CA
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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