Individual
MARYAM FATHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7320 WOODLAKE AVE STE 310, WEST HILLS, CA 91307-1471
(818) 346-9911
Mailing address
7320 WOODLAKE AVE STE 310, WEST HILLS, CA 91307-1471
(818) 346-9911
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95022154
CA
Other
Enumeration date
08/02/2022
Last updated
07/27/2023
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