Individual
MISS FAITH ELLEN FORTUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 EAST CHAPMAN # 203, FULLERTON, CA 92831-3839
(714) 680-9000
(714) 680-8233
Mailing address
801 E CHAPMAN AVE STE 203, FULLERTON, CA 92831-3846
(714) 680-9000
(714) 680-9000
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
11/11/2010
Last updated
05/03/2017
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