Individual
DIYOE HARCKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
867 N FAIR OAKS AVE, PASADENA, CA 91103-3050
(626) 798-6793
Mailing address
4000 VAN HORNE AVE, LOS ANGELES, CA 90032-1146
(323) 620-3071
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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