Individual
IMAN FARAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS. CF SLP
Contact information
Practice address
25102 JEFFERSON AVE, MURRIETA, CA 92562-1707
(951) 693-9600
Mailing address
25102 JEFFERSON AVE, MURRIETA, CA 92562-1707
(951) 693-9600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13543
CA
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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