Individual
EVAN FAZZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2708 NE 14TH ST APT 5, POMPANO BEACH, FL 33062-3564
(888) 880-9270
Mailing address
7830 E TOPEKA PL, YUMA, AZ 85365-8842
(928) 503-0404
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
D05454468
AZ
Other
Enumeration date
03/23/2013
Last updated
03/23/2013
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