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Individual

ANTHONY FAMILIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SSD

Contact information

Practice address
26305 LILY GLN, LAKE FOREST, CA 92630-7258
(949) 500-1105
Mailing address
26305 LILY GLN, LAKE FOREST, CA 92630-7258
(949) 500-1105

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
C2984157
CA

Other

Enumeration date
08/14/2008
Last updated
08/14/2008
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