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1467929307
JENNIFER FARIA
VALLEJO, CA
NPI
1467929307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224L00000X Pedorthist
(Licence: CA 0008395381)
Enumeration Date
2018-10-29
Last Update Date
2018-10-29
Business Address
JENNIFER FARIA C-Ped
438 ANNETTE AVE
VALLEJO, CA 94591-6574
Phone number: 510-672-6694
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Mailing Address
JENNIFER FARIA C-Ped
438 ANNETTE AVE
VALLEJO, CA 94591-6574
Phone number:
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JENNIFER FARIA