Individual
AZHAR SULTANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
293 CERVANTES, LAKE OSWEGO, OR 97035-1207
(408) 705-3334
Mailing address
293 CERVANTES, LAKE OSWEGO, OR 97035-1207
(408) 705-3334
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
118811
CA
Other
Enumeration date
03/26/2020
Last updated
04/06/2020
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