Individual
DAUGHN FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9985 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-6996
Mailing address
PO BOX 2742, CHINO, CA 91708-2742
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5431
CA
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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