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Individual

SAMAN TAFAZOLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6203 SAN IGNACIO AVE STE 110, SAN JOSE, CA 95119-1358
(855) 832-6727
Mailing address
1915 MOUNT VERNON CT APT 19, MOUNTAIN VIEW, CA 94040-2017
(650) 526-8697

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
10/22/2019
Last updated
10/22/2019
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