Individual
FABIAN PICAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
957 INDUSTRIAL RD STE B, SAN CARLOS, CA 94070-4152
(650) 832-6900
Mailing address
957 INDUSTRIAL RD STE B, SAN CARLOS, CA 94070-4152
(415) 317-6393
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/02/2015
Last updated
04/16/2018
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