Most Relevant Information
Provider Data
| NPI Number: | 1003397514 |
| Provider Name: | JESSICA FAZZARY |
| Entity Type: | Individual |
| Taxonomy Code: | 171100000X |
| Specialty: | Acupuncturist |
| License Number: | AC17190 |
Most Important Dates
| Enumeration Date: | 08/22/2018 |
| Last Updated: | 08/22/2018 |
Provider Practice Location
2537 UNIVERSITY AVE
SAN DIEGO
CA
921042807
Practice Location Phone/Fax
| Phone: | 6193589508 |
| Fax: |
Provider Mailing Location
2507 J AVE
NATIONAL CITY
CA
919507520
Provider Mailing Phone/Fax
| Phone: | 6077426999 |
| Fax: |