MALIKSHABAZZ OWENS

SANTA MONICA, CA
NPI1447718804
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies225400000X Rehabilitation Practitioner
Enumeration Date2019-03-05
Last Update Date2025-03-04
Business Address
MALIKSHABAZZ OWENS
1002 PICO BLVD
SANTA MONICA, CA 90405-1416
Phone number: 866-452-5273
Mailing Address
MALIKSHABAZZ OWENS
12356 GLYNN AVE # 0
DOWNEY, CA 90242-3650
Phone number: 424-396-9066