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FAROOQUE AZAM
Psychiatric/Mental Health Nurse Practitioner
NPI: 1689203093IndividualAccepts Medicare
Specialties, Licenses & Credentials
Psychiatric/Mental Health Nurse PractitionerPrimary
Nurse Practitioner — Psychiatric/Mental Health
Code: 363LP0808X
95014104(CA)65014104(CA)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2019
Contact & Hours
Via practice · 2 locations total
- Address
- 1225 W 190TH ST STE 280
GARDENA, CA 90248 - Phone
- (310) 515-8113
Quick Facts
- NPI
- 1689203093
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 2
- Years in Practice
- 7
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