DAN LEROY FAUCETT

MODESTO, CA
NPI1760671945
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA  337314)
Enumeration Date2007-10-23
Last Update Date2007-10-23
Business Address
-- DAN LEROY FAUCETT R.N.
1501 CLAUS RD
MODESTO, CA 95355-9711
Phone number: 209-558-4700
Mailing Address
-- DAN LEROY FAUCETT R.N.
2621 MAJESTIC OAK DR
MODESTO, CA 95355-9402
Phone number: 209-551-5733