Wisal Fare, PA-C
NPI #1578525598 in San Leandro, California
Provider Information
- NPI Number
- 1578525598
- Entity Type
- Individual
- Name
- Wisal Fare, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Clinical Nurse Specialist - Adult Health
- Credential
- PA-C
- Enumeration Date
- Apr 5, 2006
- Last Updated
- Sep 23, 2014
Practice Location
- Address
- 13851 E 14TH ST
- Address 2
- STE 305
- City
- San Leandro
- State
- California
- ZIP Code
- 94578-2631
- Phone
- (510) 351-1193
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Nurse Specialist - Adult Health — Adult Health |
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