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SUZAN RANDA ABBOUD
>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1518517861
Individual Registrant: SUZAN RANDA ABBOUD
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
21245 E CLIFF DR STE G SANTA CRUZ, CA 95062-4869 US
Tel: 831-226-1718 Fax: --
Tel: 831-226-1718 Fax: --
Contact information for business:
510 CEDAR ST SANTA CRUZ, CA 95060-4307 US
Tel: 831-596-2120 Fax: --
Tel: 831-596-2120 Fax: --
Registration Information:
NPI: 1518517861
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist | CA | 35165 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
