Individual
GERALDINE FAIVRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91-2135 FORT WEAVER RD FL 3, EWA BEACH, HI 96706-1940
(808) 691-3135
(808) 691-3347
Mailing address
PO BOX 9261, WICHITA FALLS, TX 76308-9261
(940) 764-7230
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
T1700
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2017
Last updated
08/07/2024
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