Individual
CHRISTOPHER FRANK FASULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
344 E 6TH ST, MADERA, CA 93638-3631
(559) 664-4000
Mailing address
9263 N SAYBROOK DR APT 250, FRESNO, CA 93720-0824
(480) 818-3519
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
54918
CA
Other
Enumeration date
08/28/2017
Last updated
09/22/2017
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