Most Relevant Information
Provider Data
| NPI Number: | 1003677758 |
| Provider Name: | NICOLE FAUSS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: | 202122810605 |
Most Important Dates
| Enumeration Date: | 01/19/2024 |
| Last Updated: | 01/19/2024 |
Provider Practice Location
25706 LEWIS DR
HAYWARD
CA
945442944
Practice Location Phone/Fax
| Phone: | 5107019439 |
| Fax: | 8883411576 |
Provider Mailing Location
25706 LEWIS DR
HAYWARD
CA
945442944
Provider Mailing Phone/Fax
| Phone: | 5107019439 |
| Fax: | 8883411576 |