Most Relevant Information
Provider Data
| NPI Number: | 1003305517 |
| Provider Name: | PATRICIA IRAZU NAJERA FONSECA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/10/2018 |
| Last Updated: | 05/10/2018 |
Provider Practice Location
4849 LONE TREE WAY
ANTIOCH
CA
945318644
Practice Location Phone/Fax
| Phone: | 9253918055 |
| Fax: |
Provider Mailing Location
827 PIRATE LN
BAY POINT
CA
945652959
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |