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Individual

GHAZEL WAIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1843 ATWOODVILLE CT, FAIRFIELD, CA 94533-8996
(707) 416-5571
Mailing address
1843 ATWOODVILLE CT, FAIRFIELD, CA 94533-8996
(707) 416-5571

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
PA59458
CA
363AM0700X
Medical Physician Assistant
Primary
PA59458
CA

Other

Enumeration date
04/29/2021
Last updated
04/16/2025
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