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Individual
ROXANNE FAVIS
Active
Individual
ROXANNE FAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A16891
CA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
20A16891
CA
Other
Enumeration date
04/27/2017
Last updated
08/17/2023
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