Individual
DAMIR MAKHANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4444 LANKERSHIM BLVD STE 207, NORTH HOLLYWOOD, CA 91602-2346
(818) 200-8296
Mailing address
11851 DEHOUGNE ST, NORTH HOLLYWOOD, CA 91605-6081
(818) 200-8296
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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