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Individual

MOHAMMAD REZA PAKRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
738 RANDOLPH STREET, CHARLESTON, WV 25302
(304) 205-7241
(304) 345-5441
Mailing address
738 RANDOLPH STREET, CHARLESTON, WV 25302
(304) 205-7241
(304) 345-5441

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
22204886
WV

Other

Enumeration date
09/17/2009
Last updated
09/17/2009
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