FAJIE MA II
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation
Provider Information
- NPI Number
1891079455- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 123 S COMMERCE ST STE E, STOCKTON, CA, 952022837
- Phone
- (209) 910-9123
- Fax
- (209) 288-5300
Specialties & Taxonomies
Physical Medicine & Rehabilitation
License: NY #944736
Physical Medicine & Rehabilitation
Primary License: CA #A129917