Individual
YASAMAN ETEMADFARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4459 ESTRELLA AVE APT 2, SAN DIEGO, CA 92115-4651
(405) 657-4165
Mailing address
4459 ESTRELLA AVE APT 2, SAN DIEGO, CA 92115-4651
(405) 657-4165
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
11/28/2021
Last updated
11/28/2021
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