Individual
SHAWDON HASHEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2112 OPAL RDG, VISTA, CA 92081-8801
(818) 397-3904
Mailing address
2112 OPAL RDG, VISTA, CA 92081-8801
(818) 397-3904
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6624
CA
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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