Individual
FAREEHA SIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13524 BANEBERRY ST, MORENO VALLEY, CA 92553-4822
(619) 750-9752
Mailing address
13524 BANEBERRY ST, MORENO VALLEY, CA 92553-4822
(619) 750-9752
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
57097
CA
Other
Enumeration date
09/03/2019
Last updated
04/23/2024
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