Individual
SIMON N KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3947 W HILLSDALE CT, VISALIA, CA 93291-5534
(559) 631-3966
Mailing address
3947 W HILLSDALE CT, VISALIA, CA 93291-5534
(408) 893-9656
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
CA
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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