Individual
ARIANA FAKERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
437 E CHERRY ST APT 17, SPRINGFIELD, MO 65806-3395
(816) 616-7059
Mailing address
437 E CHERRY ST APT 17, SPRINGFIELD, MO 65806-3395
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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