MRS. Jessica Rae Fada, OTHER
NPI #1053596056 in Mojave, California
Provider Information
- NPI Number
- 1053596056
- Entity Type
- Individual
- Name
- MRS. Jessica Rae Fada, OTHER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- OTHER
- Enumeration Date
- Jan 8, 2008
- Last Updated
- Jan 8, 2008
Practice Location
- Address
- 15662 K ST
- City
- Mojave
- State
- California
- ZIP Code
- 93501-1826
- Phone
- (661) 824-4118
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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