Individual
MR. ANTHONY JOHN FUAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1635 ARD EEVIN AVE, GLENDALE, CA 91202-1223
(818) 636-5471
Mailing address
1635 ARD EEVIN AVE, GLENDALE, CA 91202-1223
(818) 636-5471
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
170129828
CA
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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