Individual
FARBOD R SAMARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2940 INLAND EMPIRE BLVD, ONTARIO, CA 91764-4898
(909) 458-1518
Mailing address
2940 INLAND EMPIRE BLVD, ONTARIO, CA 91764-4898
(909) 458-1518
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW116751
CA
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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