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Individual

MS. RAHA BORAZJANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
6145 N THESTA ST, FRESNO, CA 93710-5266
(559) 446-1065
(559) 436-8193
Mailing address
2040 FRANKLIN ST APT 1402, SAN FRANCISCO, CA 94109-2984

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA52894
CA
363AS0400X
Surgical Physician Assistant
Primary
PA52894
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA52894
PHYSICIAN ASSISANT
CA
Enumeration date
11/11/2015
Last updated
04/21/2021
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