Chelsea Fairbanks

NPI #1629316005 in Novato, California

Provider Information

NPI Number: 1629316005
Entity Type: Individual
Name: Chelsea Fairbanks
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 20, 2013
Last Updated: Jan 20, 2013

Practice Location

Address: 2536 LAGUNA VISTA DR
City: Novato
State: California
ZIP Code: 94945-1526
Phone: (415) 250-0797

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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