MAURINA KRYSTAL FANOUS

PASADENA, CA
NPI1386133593
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171100000X Acupuncturist
(Licence: CA  19688)
Additional Taxonomies103K00000X Behavior Analyst
Enumeration Date2018-05-02
Last Update Date2023-04-18
Business Address
MAURINA KRYSTAL FANOUS
221 E WALNUT ST STE 134
PASADENA, CA 91101-1554
Phone number: 626-377-9596
Mailing Address
MAURINA KRYSTAL FANOUS
8028 4TH ST UNIT B
DOWNEY, CA 90241-3606
Phone number: 562-728-3131