Individual
GABRIEL ALAN DE HARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1215 S NORTON AVE APT 307, LOS ANGELES, CA 90019-3339
(310) 621-0748
Mailing address
1215 S NORTON AVE APT 307, LOS ANGELES, CA 90019-3339
(310) 621-0748
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
55897
CA
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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