Individual
GENESIS HADDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 E FOOTHILL BLVD STE 300, PASADENA, CA 91107-7102
(626) 993-3000
Mailing address
202 S RAYMOND AVE UNIT 205, PASADENA, CA 91105-4115
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/16/2016
Last updated
12/13/2017
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