Individual
MS. PARVANEH LALEZARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
18410 WELLS DR, TARZANA, CA 91356-4221
(818) 609-7338
Mailing address
18410 WELLS DR, TARZANA, CA 91356-4221
(818) 609-7338
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
86032907
CA
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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