Individual
RACHEL FAIRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6520 W HAPPY VALLEY RD, SUITE B103, GLENDALE, AZ 85310-2615
(623) 825-3700
Mailing address
6520 W HAPPY VALLEY RD, SUITE B103, GLENDALE, AZ 85310-2615
(623) 825-3700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6293
AZ
Other
Enumeration date
12/04/2015
Last updated
02/06/2017
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