Individual
FARAHDEBA HERRAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1 BOWDOIN SQ, BOSTON, MA 02114-2927
(617) 643-9406
Mailing address
1 BOWDOIN SQ, BOSTON, MA 02114-2927
(617) 643-9406
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MA
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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