Individual
ADIL PANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22706 ASPAN ST STE 504, LAKE FOREST, CA 92630-1603
(949) 842-7187
Mailing address
22706 ASPAN ST STE 504, LAKE FOREST, CA 92630-1603
(949) 842-7187
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7731
CA
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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