Individual
OLGA LISSETE FACUNDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2751 S BARDELL AVE, FRESNO, CA 93706-5307
(559) 353-1558
Mailing address
2751 S BARDELL AVE, FRESNO, CA 93706-5307
(559) 353-1558
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
00986454
CA
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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