Individual
LETICIA THAIS FAGUNDES FIDELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10334B VISTA DR, CUPERTINO, CA 95014-2039
(510) 630-5988
Mailing address
10334B VISTA DR, CUPERTINO, CA 95014-2039
(510) 630-5988
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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