Individual
BALAKIMWE FARARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1109 SIR FRANCIS DRAKE BLVD, KENTFIELD, CA 94904-1418
(707) 494-1021
Mailing address
1007 MURRE WAY, SUISUN CITY, CA 94585-3522
(773) 341-8520
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/02/2024
Last updated
03/06/2024
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