MARIAM FAZIL

NEWPORT BEACH, CA
NPI1235827429
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95024966)
Enumeration Date2023-04-26
Last Update Date2023-07-02
Business Address
MARIAM FAZIL PMHNP-BC
1401 DOVE ST STE 420
NEWPORT BEACH, CA 92660-2420
Phone number: 949-945-0927
Mailing Address
MARIAM FAZIL PMHNP-BC
1401 DOVE ST STE 420
NEWPORT BEACH, CA 92660-2420
Phone number: 949-945-0927
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