Individual
FARIYO OMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7135 WESTVIEW PL APT B, LEMON GROVE, CA 91945-1427
(619) 757-0201
Mailing address
7135 WESTVIEW PL APT B, LEMON GROVE, CA 91945-1427
(619) 757-0201
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86-1868400
—
CA
Enumeration date
02/03/2021
Last updated
02/03/2021
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