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FAUSTINO REVELES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
2615 E CLINTON AVE, FRESNO, CA 93703-2223
(559) 225-6100
Mailing address
2600 ROBINWOOD AVE, CLOVIS, CA 93611-8586
(559) 730-4861

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95089480
CA

Other

Enumeration date
10/03/2024
Last updated
10/03/2024
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