Individual
AVA MOHTASHEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1728 BANCROFT AVE, SAN FRANCISCO, CA 94124-2697
(415) 279-0005
Mailing address
1728 BANCROFT AVE, SAN FRANCISCO, CA 94124-2697
(415) 279-0005
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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