Individual
ANNA FASTENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCH
Contact information
Practice address
4020 MOORPARK AVE, SUITE 108, SAN JOSE, CA 95117-4102
(408) 380-3020
Mailing address
4020 MOORPARK AVE, SUITE 108, SAN JOSE, CA 95117-4102
(408) 380-3020
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
231249209
CA
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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