NPI 1003397514

Jessica Fazzary

Practitioner Acupuncturist San Diego, CA

Practice location

Address: 2537 University Ave, San Diego, CA 92104-2807
Phone: (619) 358-9508
Mailing address: 2507 J Ave, National City, CA 91950-7520

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence AC17190 (CA)

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Registry record

NPI: 1003397514
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Aug 2018
Record last updated: 22 Aug 2018

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.