TRACY-JANE LUYUN FAJOTA

GLENDALE, CA
NPI1700660560
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: CA  95025937)
Enumeration Date2023-08-22
Last Update Date2023-08-22
Business Address
TRACY-JANE LUYUN FAJOTA AGACNP-BC
1420 S CENTRAL AVE
GLENDALE, CA 91204-2508
Phone number: 818-502-1900
Mailing Address
TRACY-JANE LUYUN FAJOTA AGACNP-BC
8510 BALBOA BLVD STE 150
NORTHRIDGE, CA 91325-5810
Phone number: 818-636-0501
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