Most Relevant Information
Provider Data
| NPI Number: | 1003330218 |
| Provider Name: | EMBERROSE LASTARR WHIPPLE-FIORELLA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/29/2017 |
| Last Updated: | 07/29/2017 |
Provider Practice Location
5151 N CEDAR AVE APT 256
FRESNO
CA
937107470
Practice Location Phone/Fax
| Phone: | 5305138840 |
| Fax: |
Provider Mailing Location
5151 N CEDAR AVE APT 256
FRESNO
CA
937107470
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |