Individual
MICHELLE LEAH FAWCETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
31493 RANCHO PUEBLO RD STE 206, TEMECULA, CA 92592-4833
(951) 693-9678
(951) 302-7710
Mailing address
31493 RANCHO PUEBLO RD STE 206, TEMECULA, CA 92592-4833
(951) 693-9678
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95022778
CA
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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