Individual
MAHNAZ BAHAELOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AESTH, PMU
Contact information
Practice address
11961 SANTA MONICA BOULEVARD, LOS ANGELES, CA 90025-2748
(310) 446-7878
Mailing address
11961 SANTA MONICA BOULEVARD, LOS ANGELES, CA 90025-2748
(310) 446-7878
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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