Individual
FARAH LAIWALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 NORTH 1900 EAST, 1C412, UNIVERSITY OF UTAH, SALT LAKE CITY, UT 84132
(801) 581-2401
Mailing address
54 BURLINGTON ST APT 2, PROVIDENCE, RI 02906
(401) 533-7889
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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