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Individual

CHANEL BRIANA FAUWTS-WATKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2813 S MAIN ST, CORONA, CA 92882-5942
(951) 358-6572
(951) 737-2783
Mailing address
2813 S MAIN ST, CORONA, CA 92882-5942
(951) 358-6572
(951) 737-2783

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-QLOFZE
CA

Other

Enumeration date
08/14/2025
Last updated
08/14/2025
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