KENYETTA CHERNIECE FUGATE

SAN BERNARDINO, CA
NPI1427885300
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: CA  ASW122704)
Enumeration Date2024-09-16
Last Update Date2024-09-16
Business Address
KENYETTA CHERNIECE FUGATE
572 N ARROWHEAD AVE
SAN BERNARDINO, CA 92401-1251
Phone number: 909-264-6466
Mailing Address
KENYETTA CHERNIECE FUGATE
PO BOX 485
LOMA LINDA, CA 92354-0485
Phone number: 909-264-6466
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