Individual
MRS. LORRAINE D FAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3608 E DESERT MOON TRL, SAN TAN VALLEY, AZ 85143-3366
(480) 677-4240
Mailing address
3608 E DESERT MOON TRL, SAN TAN VALLEY, AZ 85143-3366
(480) 677-4240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP11074
AZ
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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