Individual
AMY LIANE FUGLEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 QUALITY DR, VACAVILLE, CA 95688-9494
(707) 624-2830
Mailing address
1 QUALITY DR, VACAVILLE, CA 95688-9494
(707) 624-2830
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
124701
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2009
Last updated
01/17/2022
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