Individual provider · NPI-1

Mandana Abedi Koupaei

Technician, Other · Spring, TX

NPI number1063113835
StatusActive
Last updated in NPPESMar 16, 2023

Details

NPI
1063113835
Entity type
Individual (NPI-1)
Name
Mrs. Mandana Abedi Koupaei
Sex
Female
Sole proprietor
No
Enumeration date
Mar 16, 2023
Certification date
Mar 16, 2023
Last updated
Mar 16, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, Other––Yes

Practice location

34 Purple Martin Pl
Spring, TX 77381-6430

Phone 832-589-8825

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

Phone 855-832-6727 · Fax 772-675-9100

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Other Technician, Other providers in Spring, TX