Individual
MS. CATHERINE ANNE FATINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
1088 4TH ST # 7, SOUTH LAKE TAHOE, CA 96150-3460
(541) 640-1644
(530) 600-2679
Mailing address
PO BOX 9484, SOUTH LAKE TAHOE, CA 96158-2484
(541) 640-1644
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
24278
CA
124Q00000X
Dental Hygienist
Primary
511
CA
Other
Enumeration date
06/17/2014
Last updated
09/23/2023
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