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Paulito Faraon

Licensed Practical Nurse in Anaheim, CA. Individual provider (NPI-1).

NPI number1013293299
StatusActive
Last updated in NPPESNov 1, 2011

Details

NPI
1013293299
Entity type
Individual (NPI-1)
Name
Mr. Paulito Faraon
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 1, 2011
Last updated
Nov 1, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse219361CAYes

Practice location

2533 E Puritan Cir
Anaheim, CA 92806-4315

Phone 714-420-4755

Mailing address

2533 E Puritan Cir
Anaheim, CA 92806-4315

Phone 714-420-4755

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