Individual
MRS. DIANNE JASMIN FAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
36000 DARNALL LOOP, FT HOOD, TX 76544
(254) 288-8256
(254) 286-7327
Mailing address
1202 CRAIG ST, COPPERAS COVE, TX 76522
(254) 547-1808
(254) 547-1808
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
525288
TX
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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