Individual
MS. SHOELEH SAFARI-JAEFARLOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22622 LAMBERT ST, 301#B, LAKE FOREST, CA 92630-1609
(949) 768-4327
(949) 768-4009
Mailing address
22622 LAMBERT ST, LAKE FOREST, CA 92630-1609
(949) 768-4327
(949) 768-4009
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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