Individual
YALDA FARAH HAIDREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 E PORTLAND ST APT 405, PHOENIX, AZ 85004-1882
(949) 207-8859
Mailing address
320 E PORTLAND ST APT 405, PHOENIX, AZ 85004-1882
(949) 207-8859
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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