Individual provider · NPI-1

Behbood Fariba

Massage Therapist · Indio, CA

NPI number1053910141
StatusActive
Last updated in NPPESOct 20, 2020

Details

NPI
1053910141
Entity type
Individual (NPI-1)
Name
Mr. Behbood Fariba
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 20, 2020
Certification date
Oct 20, 2020
Last updated
Oct 20, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist507CAYes

Practice location

84644 Pavone Way
Indio, CA 92203-2956

Phone 760-212-7767

Mailing address

84644 Pavone Way
Indio, CA 92203-2956

Phone 760-212-7767

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