Individual
MR. ALVARO ISIP FAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 W CENTRAL AVE STE B, BREA, CA 92821-3036
(714) 529-5022
Mailing address
500 W CENTRAL AVE STE B, BREA, CA 92821-3036
(714) 529-5022
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
3076
CA
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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