Individual
GLADYS GANIBAN FARINAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4201 KEEVER AVE, LONG BEACH, CA 90807-3016
(323) 854-4094
Mailing address
4201 KEEVER AVE, LONG BEACH, CA 90807-3016
(323) 854-4094
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95030278
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95030278
CA
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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