Individual
AMIR FATTAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 ENGELL CT, SUISUN CITY, CA 94585-3742
(707) 673-3184
Mailing address
320 ENGELL CT, SUISUN CITY, CA 94585-3742
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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