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Individual

FARNAZ FAYE JAMALI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
250 E BLITHEDALE AVE STE B, MILL VALLEY, CA 94941-2092
(415) 887-8718
Mailing address
250 E BLITHEDALE AVE STE B, MILL VALLEY, CA 94941-2092
(415) 887-8718

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G81063
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G810630
CA
Enumeration date
11/02/2006
Last updated
08/10/2023
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