Individual
BABAK SHIRVANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
159 W POLK ST, COALINGA, CA 93210-2302
(559) 935-3597
Mailing address
159 W POLK ST, COALINGA, CA 93210-2302
(559) 935-3597
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
75412
CA
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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