Individual
CARYN TIA FACUNLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
251 JACKSON AVE, REDWOOD CITY, CA 94061-1630
(650) 368-2383
(650) 368-0599
Mailing address
251 JACKSON AVE, REDWOOD CITY, CA 94061-1630
(650) 368-2383
(650) 368-0599
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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