Individual
MRS. AYDA FATHOLLAH POUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2100 W. CENTRAL AVE, TOLEDO, OH 43606
(567) 420-1613
Mailing address
2100 W. CENTRAL AVE, TOLEDO, OH 43606
(765) 588-7079
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
57.256929
OH
Other
Enumeration date
05/23/2024
Last updated
08/05/2024
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