Individual
TALISA ELAINE FAUSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18506 GREENING ST, ADELANTO, CA 92301-1544
(909) 258-6730
Mailing address
18506 GREENING ST, ADELANTO, CA 92301-1544
(909) 258-6730
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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