Individual
TABARAK KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 S KINGSLEY DR APT 226, LOS ANGELES, CA 90020-3214
(323) 360-1010
Mailing address
401 S KINGSLEY DR APT 226, LOS ANGELES, CA 90020-3214
(323) 360-1010
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
44977
CA
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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