Individual
MASCID ALI FARAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
142 PAOLI ST APT 309, VERONA, WI 53593-1412
(786) 626-7302
Mailing address
142 PAOLI ST APT 309, VERONA, WI 53593-1412
(786) 626-7302
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
F600-5418-0501-00
—
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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