Most Relevant Information
Provider Data
| NPI Number: | 1003307190 |
| Provider Name: | JENNIFER GHOBRIAL HAROUN LAC |
| Entity Type: | Individual |
| Taxonomy Code: | 171100000X |
| Specialty: | Acupuncturist |
| License Number: | 18038 |
Most Important Dates
| Enumeration Date: | 05/23/2018 |
| Last Updated: | 05/23/2018 |
Provider Practice Location
12112 W WASHINGTON BLVD
LOS ANGELES
CA
900665514
Practice Location Phone/Fax
| Phone: | 4245014391 |
| Fax: |
Provider Mailing Location
8101 READING AVE
LOS ANGELES
CA
900454347
Provider Mailing Phone/Fax
| Phone: | 3109631568 |
| Fax: |