Individual
FABRIENNE FRITZI LUCAS OCAMPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E OKEEFE ST APT 15, EAST PALO ALTO, CA 94303-2119
(650) 898-3424
Mailing address
301 E OKEEFE ST APT 15, EAST PALO ALTO, CA 94303-2119
(650) 898-3424
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
CA
Enumeration date
12/18/2020
Last updated
12/18/2020
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