Individual
JARIB TAKEZHI CONCILCO COLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3862 SHERWOOD PL, SHERMAN OAKS, CA 91423-4608
(310) 985-9076
Mailing address
3862 SHERWOOD PL, SHERMAN OAKS, CA 91423-4608
(310) 985-9076
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
171W00000X
Contractor
—
—
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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