STEPHEN FASANO

SAN DIEGO, CA
NPI1295282648
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy246ZX2200X Specialist/Technologist, Other, Orthopedic Assistant
(Licence: CA  07-1142)
Enumeration Date2016-09-01
Last Update Date2016-09-01
Business Address
-- STEPHEN FASANO
5472 GENEVA AVE
SAN DIEGO, CA 92114-1121
Phone number: 619-961-8526
Mailing Address
-- STEPHEN FASANO
5472 GENEVA AVE
SAN DIEGO, CA 92114-1121
Phone number: 619-961-8526
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