Individual provider · NPI-1
Donya Agahzadehkesheh
Social Worker · Riverside, CA
NPI number1336980432
StatusActive
Last updated in NPPESJun 3, 2024
Details
- NPI
- 1336980432
- Entity type
- Individual (NPI-1)
- Name
- Donya Agahzadehkesheh
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 3, 2024
- Certification date
- Jun 3, 2024
- Last updated
- Jun 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
6876 Magnolia AveRiverside, CA 92506-2860
Phone 760-992-3039
Mailing address
345 Lomita DrRialto, CA 92376-2868
Phone 909-775-6105
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