Individual
MRS. CHUT TRUONG FARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
4033 NW 59TH AVENUE, GAINESVILLE, FL 32653-7147
(352) 331-0126
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9174020
FL
Other
Enumeration date
10/03/2006
Last updated
01/26/2012
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