Individual
JAQUELIN PAOLA FIERROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
961 ORANGE GROVE AVE, SAN FERNANDO, CA 91340-1653
(818) 669-6930
Mailing address
961 ORANGE GROVE AVE, SAN FERNANDO, CA 91340-1653
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
114791
CA
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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