Individual
MRS. ARCHANA FAROUQUE MAZRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5411 ETIWANDA AVE STE 100, TARZANA, CA 91356-6159
(818) 757-8839
Mailing address
16550 KNOLLWOOD DR, GRANADA HILLS, CA 91344-1843
(818) 256-6019
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95034482
CA
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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