BOUTHIANA FATHALLAH

TRINITY, FL
NPI1861223661
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
Enumeration Date2024-08-12
Last Update Date2024-08-12
Business Address
BOUTHIANA FATHALLAH CAA
9330 STATE ROAD 54
TRINITY, FL 34655-1808
Phone number: 727-834-4000
Mailing Address
BOUTHIANA FATHALLAH CAA
1808 SHADYBROOK RD
CHARLESTON, WV 25314-2268
Phone number:
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