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Individual

CINDY FAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1538 E WARNER AVE, SUITE A, SANTA ANA, CA 92705-5476
(714) 434-4773
Mailing address
417 E YALE LOOP, IRVINE, CA 92614-7551
(949) 336-7231

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
895
CA

Other

Enumeration date
12/07/2011
Last updated
12/07/2011
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