Individual
HODA MANSOURANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
585 GAGE BLVD, RICHLAND, WA 99352-7761
(509) 628-3629
(509) 628-9685
Mailing address
2270 LIMAR CT, RICHLAND, WA 99352
(509) 628-3629
(509) 628-9685
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00051610
WA
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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