Individual
MAHSA KHOSHROONEJAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15706 WOODCRAFTERS PL, TAMPA, FL 33624-1579
(813) 810-2660
Mailing address
15706 WOODCRAFTERS PL, TAMPA, FL 33624-1579
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9433096
FL
Other
Enumeration date
06/05/2022
Last updated
06/05/2022
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