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Individual

MRS. VIRGINIA PEARL FACIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, CRTT, AS

Contact information

Practice address
220 N BALMAYNE ST, PORTERVILLE, CA 93257-2607
(559) 784-6655
(559) 791-0805
Mailing address
220 N BALMAYNE ST, PORTERVILLE, CA 93257-2607
(559) 784-6655
(559) 791-0805

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
9389
CA

Other

Enumeration date
05/21/2013
Last updated
05/21/2013
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