Individual
JOYCE MARIE FEASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4474 N JACKSON AVE, FRESNO, CA 93726-2714
(155) 980-3412
Mailing address
4474 N JACKSON AVE, FRESNO, CA 93726-2714
(155) 980-3412
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A7242234
DRIVER LICENSE
CA
Enumeration date
03/03/2022
Last updated
03/03/2022
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