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Lea Fajardo

NPI 1740732205 · on the registry since 2016 · sole proprietor

Practice

Address
6512 Youngstown St
Chino, CA 91710
Phone
(909) 529-4628

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-11-01

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