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Individual

MS. CYNTHIA MARIE FIACCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
5051 VERDUGO WAY, SUITE 110, CAMARILLO, CA 93012
(805) 384-8071
(805) 987-1927
Mailing address
5051 VERDUGO WAY, SUITE 110, CAMARILLO, CA 93012
(805) 384-8071
(805) 987-1927

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP17104
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1033399415
CA
05
1063612661
CA
01
NP17104
CA NP LICENSE
CA
01
ZZZ50355Y
BS/TRIWEST
CA
Enumeration date
07/21/2007
Last updated
05/23/2016
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