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Individual

KAMMNA B FARAG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5800 US HIGHWAY 98 N, LAKELAND, FL 33809-3110
(863) 815-4408
(863) 815-4599
Mailing address
5800 US HIGHWAY 98 N, LAKELAND, FL 33809-3110
(863) 815-4408
(863) 815-4599

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO6208
FL

Other

Enumeration date
05/10/2023
Last updated
05/10/2023
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