Individual
MAROOFA FATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9455 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92123-1297
(858) 266-4209
Mailing address
9455 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92123-1297
Taxonomy
Speciality
Code
Description
License number
State
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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