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Individual

FARZANEH RAMEZANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4935 LIVINGSTON DR, FRISCO, TX 75033-2931
(469) 432-0868
Mailing address
4935 LIVINGSTON DR, FRISCO, TX 75033-2931
(469) 432-0868

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP140126
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
F11180921
TX
Enumeration date
01/08/2019
Last updated
01/08/2019
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