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Fountain Of Youth Cosmetic Center
Specialist in Cerritos, California
NPI 1821321209

Fountain Of Youth Cosmetic Center is a Specialist based in Cerritos, CA. Fountain Of Youth Cosmetic Center practices in Cerritos, CA. The NPI Number for Fountain Of Youth Cosmetic Center is 1821321209 and holds a License No. A30411 (California).

The current practice location address for Fountain Of Youth Cosmetic Center is 17100 Norwalk Blvd Ste 111, Cerritos, CA and can be reached out via phone at 562-653-0180 and via fax at 562-402-3029.

Location: 17100 Norwalk Blvd Ste 111, Cerritos, CA, 90703-2750
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821321209
Provider Name
Fountain Of Youth Cosmetic Center
Credential
Provider Entity Type
Organization
Address
17100 Norwalk Blvd Ste 111, Cerritos, CA, 90703-2750
Phone Number
562-653-0180
Fax Number
562-402-3029
Provider Enumeration Date
09/16/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17100 Norwalk Blvd Ste 111
City
Cerritos
State
California
Zip
90703-2750
Phone Number
562-653-0180
Fax Number
562-402-3029
person
Provider Business Mailing Address Details
Address
17100 Norwalk Blvd Ste 111
City
Cerritos
State
California
Zip
90703-2750
Phone Number
562-653-0180
Fax Number
562-402-3029
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A30411 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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