Individual
ASEFEH FARAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
17095 MAIN ST, HESPERIA, CA 92345-6004
(760) 956-4123
(760) 948-4616
Mailing address
17095 MAIN ST, HESPERIA, CA 92345-6004
(760) 956-4123
(760) 948-4616
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60052882
WA
363L00000X
Nurse Practitioner
Primary
NP95007020
CA
363LF0000X
Family Nurse Practitioner
0024172238
VA
363LF0000X
Family Nurse Practitioner
4520
CT
Other
Enumeration date
10/21/2008
Last updated
07/21/2022
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