MR. Eugenio Fajardo Reyes
NPI #1619132198 in Lodi, California
Provider Information
- NPI Number
- 1619132198
- Entity Type
- Individual
- Name
- MR. Eugenio Fajardo Reyes
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Jul 23, 2008
- Last Updated
- Jul 23, 2008
Practice Location
- Address
- 3261 W SARGENT RD
- City
- Lodi
- State
- California
- ZIP Code
- 95242-9212
- Phone
- (925) 963-7957
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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