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Individual

ALEC THOMAS FECTEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RCP, RRT-NPS

Contact information

Practice address
4601 DALE RD, MODESTO, CA 95356-9718
(209) 735-7591
Mailing address
1304 MYRTLE BEACH WAY, MODESTO, CA 95357-0865
(209) 985-1984

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
28742
CA
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
28742
CA

Other

Enumeration date
02/13/2019
Last updated
02/13/2019
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