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Individual

ILBRON TAMRAZZADEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MASSAGE THERAPY

Contact information

Practice address
1016 E BROADWAY, SUITE #101, GLENDALE, CA 91205-4532
(818) 396-9080
(818) 296-9388
Mailing address
1016 E BROADWAY, SUITE #101, GLENDALE, CA 91205-4532
(818) 396-9080
(818) 296-9388

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33223
CA

Other

Enumeration date
03/31/2015
Last updated
03/31/2015
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