Individual
ANNALISE ALEXIS FABIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11046 MAIN ST, EL MONTE, CA 91731-2617
(877) 507-6242
Mailing address
11046 MAIN ST, EL MONTE, CA 91731-2617
(877) 507-6242
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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