Organization
IRIS DAVOODI LIVING SOBER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRIS DAVOODI (OWNER)
(951) 636-2571
Entity
Organization
Contact information
Practice address
3530 HOLDING ST, RIVERSIDE, CA 92501-2232
(909) 636-2571
Mailing address
3530 HOLDING ST, RIVERSIDE, CA 92501-2232
(909) 636-2571
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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