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Chelsea Fairbanks
NPI 1629316005 · on the registry since 2013 · sole proprietor
Practice
- Address
- 2536 Laguna Vista Dr
Novato, CA 94945 - Phone
- (415) 250-0797
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-01-20
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