Individual
ARDESHIR KIANERCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1717 S J ST # MS 01-125, TACOMA, WA 98405-4933
(323) 363-2739
Mailing address
7315 BROMPTON ST APT 320B, HOUSTON, TX 77025-2152
(323) 363-2739
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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