Individual
AIXA PALOMINO FAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14281 7TH ST, VICTORVILLE, CA 92395-4207
(855) 581-0100
Mailing address
2080 N TUSTIN AVE STE B, SANTA ANA, CA 92705-7875
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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