Most Relevant Information
Provider Data
| NPI Number: | 1003558404 |
| Provider Name: | CHARMAINE FIELDS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/07/2022 |
| Last Updated: | 04/07/2022 |
Provider Practice Location
7109 DANNY DR
STOCKTON
CA
952105320
Practice Location Phone/Fax
| Phone: | 2099577777 |
| Fax: | 2094733344 |
Provider Mailing Location
7109 DANNY DR
STOCKTON
CA
952105320
Provider Mailing Phone/Fax
| Phone: | 2099577777 |
| Fax: | 2094733344 |