MIRASOL FAJARDO

BUENA PARK, CA
NPI1174573448
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: CA  15932)
Enumeration Date2006-05-10
Last Update Date2007-07-08
Business Address
-- MIRASOL FAJARDO N.P.
6240 DESCANSO AVE
BUENA PARK, CA 90620-1013
Phone number: 714-522-9794
Mailing Address
-- MIRASOL FAJARDO N.P.
3520 CLARINGTON AVE
LOS ANGELES, CA 90034-4922
Phone number: 323-620-4617