Individual
DEBRA ANN FAZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6653 GARNER PL # A, VALLEY SPRINGS, CA 95252-9425
(415) 532-6219
Mailing address
6653 GARNER PL # A, VALLEY SPRINGS, CA 95252-9425
(415) 532-6219
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
55898
CA
374U00000X
Home Health Aide
7517155132
CA
376K00000X
Nurse's Aide
01264265
CA
Other
Enumeration date
02/09/2024
Last updated
02/15/2024
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