FARIAHH FAZIL

MOUNT VERNON, IL
NPI1053954503
Former NameFARIA F IMDAD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209019228)
Enumeration Date2019-10-28
Last Update Date2020-10-19
Business Address
FARIAHH FAZIL FNP-BC
2 GOOD SAMARITAN WAY STE 235
MOUNT VERNON, IL 62864-2476
Phone number: 618-899-3980
Mailing Address
FARIAHH FAZIL FNP-BC
PO BOX 955860
SAINT LOUIS, MO 63195-2551
Phone number: 636-498-5944
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