MS. Sandy Sue Fasiano

NPI #1235300443 in Redding, California

Provider Information

NPI Number: 1235300443
Entity Type: Individual
Name: MS. Sandy Sue Fasiano
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Mar 14, 2008
Last Updated: Mar 14, 2008

Practice Location

Address: 2051 HILLTOP DR
Address 2: SUITE A5
City: Redding
State: California
ZIP Code: 96002-0218
Phone: (530) 221-1031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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