Individual
CHANTAL FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
445 S CEDAR AVE, FRESNO, CA 93702-2907
(559) 459-5700
(559) 459-6109
Mailing address
13922 BONNY KERRY DR, MADERA, CA 93638-9508
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A80448
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A804480
—
CA
Enumeration date
08/28/2006
Last updated
07/09/2007
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