Individual
HENGAMEH KOUREHPAZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(425) 204-3602
Mailing address
13621 55TH DR SE, EVERETT, WA 98208-9434
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60070270
WA
Other
Enumeration date
01/09/2014
Last updated
09/13/2020
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