Individual
NASIM HOLLY RAEISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 E CHURCHVILLE RD, BEL AIR, MD 21014-3411
(410) 420-8319
Mailing address
204 E JOPPA RD APT 1212, TOWSON, MD 21286-3136
(304) 685-4975
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26467
MD
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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