Individual
LORETA FABIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1825 N AVON ST, BURBANK, CA 91505-1506
(818) 557-1347
Mailing address
1825 N AVON ST, BURBANK, CA 91505-1506
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23842
CA
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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