Individual
DAVID FARZALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 JENNINGS RD, WHITMORE LAKE, MI 48189-9506
(734) 550-9025
Mailing address
3500 JENNINGS RD, WHITMORE LAKE, MI 48189-9506
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
MI
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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