MICHAEL WALLACE FUGITT

LANCASTER, CA
NPI1538942081
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2023-08-17
Last Update Date2023-08-17
Business Address
MICHAEL WALLACE FUGITT
44226 10TH ST W
LANCASTER, CA 93534-4134
Phone number: 661-942-4719
Mailing Address
MICHAEL WALLACE FUGITT
3172 EAGLE WAY
ROSAMOND, CA 93560-6218
Phone number: 661-941-6144