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Kyle Fardanesh
NPI 1043762305 · on the registry since 2016
Practice
- Address
- 9105 Four Seasons Dr
Elk Grove, CA 95624 - Phone
- (916) 792-1889
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Sex
- Male
- Record last updated
- 2016-11-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California