Individual
RAZAN BALOUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 934-4060
Mailing address
625 19TH ST S, BIRMINGHAM, AL 35249-3544
(312) 678-6315
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/05/2017
Last updated
03/17/2018
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