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Organization
SUNROOT PSYCHIATRIC WELLNESS, A PROFESSIONAL NURSING CORPORATION
Active
Organization
SUNROOT PSYCHIATRIC WELLNESS, A PROFESSIONAL NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA MARIE FAZIO (CEO)
(619) 792-0513
Entity
Organization
Contact information
Practice address
12307 WILLOW RD, LAKESIDE, CA 92040-1426
(619) 792-0513
Mailing address
2108 N ST STE N, SACRAMENTO, CA 95816-5712
(619) 792-0513
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/07/2026
Last updated
07/07/2026
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