Individual
HAKEEM O FAHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9960 JOVITA AVE, CHATSWORTH, CA 91311-3935
(818) 445-4559
Mailing address
9960 JOVITA AVE, CHATSWORTH, CA 91311-3935
(818) 445-4559
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/08/2019
Last updated
02/02/2021
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