Individual
AGNES M FAKAHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 MISSION RD, SOUTH SAN FRANCISCO, CA 94080-1302
(650) 243-4850
Mailing address
1115 MISSION RD, SOUTH SAN FRANCISCO, CA 94080-1302
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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