Individual
FADI ABOU KARROUM IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8438 WYSTONE AVE, NORTHRIDGE, CA 91324-4456
(714) 768-1418
Mailing address
8438 WYSTONE AVE, NORTHRIDGE, CA 91324-4456
(714) 768-1418
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
30080
CA
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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