Individual
PEDRO FAJARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3796 DANA STREET, BAKERSFIELD, CA 93306
(941) 504-5831
Mailing address
3796 DANA ST, BAKERSFIELD, CA 93306-1560
(941) 504-5831
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3710
CA
Other
Enumeration date
02/23/2017
Last updated
02/23/2017
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