NPI 1295378891
Jennifer Faria
Practice location
- Address
- 301 Georgia St STE 322, Vallejo, CA 94590-5945
- Phone
- (510) 672-6694
- Mailing address
- 438 Annette Ave, Vallejo, CA 94591-6574
Authorised official
- Name
- Jennifer Faria
- Title
- Pedorthist
- Phone
- (510) 672-6694
Registered specialties
Pedorthist
Primary
Registry record
- NPI
- 1295378891
- Entity type
- Organization
- NPI issued
- 26 Oct 2019
- Record last updated
- 26 Oct 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.