Individual
MR. PAULITO FARAON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2533 E PURITAN CIR, ANAHEIM, CA 92806-4315
(714) 420-4755
Mailing address
2533 E PURITAN CIR, ANAHEIM, CA 92806-4315
(714) 420-4755
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
219361
CA
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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