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Individual

ROYA MOSTAFAVI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
848 ADAMS AVE FL 8, MEMPHIS, TN 38103-2816
(901) 828-2179
Mailing address
848 ADAMS AVE FL 8, MEMPHIS, TN 38103-2816
(901) 828-2179

Taxonomy

Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
52
TN

Other

Enumeration date
04/22/2015
Last updated
04/22/2015
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