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FAUSTO LICONA AYALA

Case Manager/Care Coordinator

NPI: 1588413033Individual

Specialties, Licenses & Credentials

Case Manager/Care Coordinator

Code: 171M00000X

16759-RAC(CA)
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Contact & Hours

Address
762 GRISWOLD AVE
SAN FERNANDO, CA 91340

Quick Facts

NPI
1588413033
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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