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DORNA EKTEFAIE

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1962088666

Individual Registrant:
 DORNA  EKTEFAIE 
Gender: F
Sole Proprietor

Location and contact information for practice:
25550 HEMINGWAY AVE UNIT C  STEVENSON RANCH, CA 91381-1553 US
Tel: 661-993-5557  Fax: --

Contact information for business:
25550 HEMINGWAY AVE UNIT C  STEVENSON RANCH, CA 91381-1553 US
Tel: 661-993-5557  Fax: --

Registration Information:
NPI: 1962088666
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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