Individual
ANNA LISSA FARAON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2215 N FAIRVIEW ST, BURBANK, CA 91504-3114
(323) 633-5578
Mailing address
2215 N FAIRVIEW ST, BURBANK, CA 91504-3114
(323) 633-5578
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95027887
CA
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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