Search › California › 101YM0800X
Bonnie Fagan
NPI 1366675753 · on the registry since 2009
Practice
- Address
- 40950 Chapel Way
Fremont, CA 94538 - Phone
- (510) 226-6180
- Fax
- (510) 226-6352
- Clinicians at this address
- 89
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-09-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California