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Individual

FARNAZ ELLIKKAL MUNJUMMAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
22901 MILLCREEK BLVD STE 200, BEACHWOOD, OH 44122-5701
(919) 218-2213
Mailing address
22901 MILLCREEK BLVD STE 200, BEACHWOOD, OH 44122-5701

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RES.004915
OH

Other

Enumeration date
05/23/2025
Last updated
05/23/2025
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