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Organization
BEAUTIFIED IV SPA
Active
Organization
BEAUTIFIED IV SPA
Active
Other names
Faridah Mumin Nurse practitioner
Organization subpart
No
Provider details
NPI number
Authorized official
FARIDAH MUMIN NP (CEO)
(213) 925-8114
Entity
Organization
Contact information
Practice address
349 S LAFAYETTE PARK PLACE, LOS ANGELES CA, CA 90057
(213) 840-7247
Mailing address
349 S LAFAYETTE PARK PLACE, 125, LOS ANGELES CA, CA 90057
(213) 840-7247
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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