Individual
BOBAK YOUSSEFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1330 CLARK ST, CAMBRIDGE, OH 43725-9614
(740) 421-9533
Mailing address
716 ADAIR AVE, ZANESVILLE, OH 43701-2836
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN.404085
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0027500
OH
Other
Enumeration date
08/25/2020
Last updated
09/14/2020
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