Individual
MISS ROAA GHASSAN FATHI I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5021 NW 34TH BLVD STE A, GAINESVILLE, FL 32605-1191
(352) 371-7766
Mailing address
5021 NW 34TH BLVD STE A, GAINESVILLE, FL 32605-1191
(352) 371-7766
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
25085
FL
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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