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1417621434
SAMANEH FANAEIAN
SANTA MONICA, CA
NPI
1417621434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95017465)
Enumeration Date
2021-08-03
Last Update Date
2023-01-02
Business Address
SAMANEH FANAEIAN NP
2656 29TH ST STE 202
SANTA MONICA, CA 90405-2984
Phone number: 310-503-0221
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Mailing Address
SAMANEH FANAEIAN NP
3931 W 58TH PL
LOS ANGELES, CA 90043-2913
Phone number: 916-335-0727
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