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Organization

WELL CARE OF ESTRELL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA LISTON (CLINIC MANAGER)
(805) 616-1765
Entity
Organization

Contact information

Practice address
1350 TRAVIS BLVD UNIT 1385A, FAIRFIELD, CA 94533-3433
(707) 631-6416
Mailing address
1350 TRAVIS BLVD UNIT 1385A, FAIRFIELD, CA 94533-3433
(707) 631-6416

Taxonomy

Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary

Other

Enumeration date
02/02/2026
Last updated
02/02/2026
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