Individual
MARJAN RAZI POURDAVOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C., QME
Contact information
Practice address
610 NORTH CENTRAL AVE, SUITE 202, GLENDALE, CA 91203
(818) 244-6792
(818) 244-7477
Mailing address
610 NORTH CENTRAL AVE, SUITE 202, GLENDALE, CA 91203
(818) 244-6792
(818) 244-7477
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
DC 25093
CA
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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