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Individual

AN PHAN FAJARDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
16921 TAYLOR CT, TORRANCE, CA 90504-2213
(310) 292-8179
Mailing address
16921 TAYLOR CT, TORRANCE, CA 90504-2213

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
295871
CA

Other

Enumeration date
11/08/2018
Last updated
03/02/2021
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