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Individual

FARRAH K FARQUHARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
10877 WILSHIRE BLVD STE 1100, LOS ANGELES, CA 90024-4368
(310) 248-4000
Mailing address
4525 CHANDLER CT, MONROE, GA 30656-3688
(305) 300-8455

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9695
GA
363A00000X
Physician Assistant
PA9106122
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004032800
FL
01
P01600611
RR MCR
FL
Enumeration date
09/15/2011
Last updated
05/17/2024
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