Individual
ABDUL QASEM FAZELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4730 MARCONI AVE, CARMICHAEL, CA 95608-3554
(916) 841-9350
Mailing address
4730 MARCONI AVE, CARMICHAEL, CA 95608-3554
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1234
CA
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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