Individual
KIRA BAHNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NMD
Contact information
Practice address
19641 N 37TH WAY, PHOENIX, AZ 85050-3921
(480) 238-6964
Mailing address
19641 N 37TH WAY, PHOENIX, AZ 85050-3921
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
19-1773
AZ
Other
Enumeration date
05/03/2019
Last updated
02/02/2021
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