Individual
FARRAH DAWN GAINEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
30971 SILVER LEAF DR, SAN JUAN CAPISTRANO, CA 92675-2952
(949) 503-1705
Mailing address
1427 LOOKOUT CT, UPLAND, CA 91784-8611
(951) 203-1649
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
246210
CA
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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