Individual
YASMEEN FARUQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6226 HAZEL AVE, PHILADELPHIA, PA 19143-2226
(484) 802-4364
Mailing address
6226 HAZEL AVE, PHILADELPHIA, PA 19143-2226
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG011142
PA
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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