Individual
MR. HISHAM ZIYOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.A.T., A.T.C.
Contact information
Practice address
3400 N CHARLES ST, BALTIMORE, MD 21218-2608
(410) 516-8458
Mailing address
1003 SAYWARD AVENUE, BALTIMORE, MD 21234
(410) 905-4374
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000746
MD
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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