Fausto Licona Ayala
Fausto Licona Ayala is a Case Manager/Care Coordinator in San Fernando, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
762 Griswold AveSan Fernando, CA 91340
Phone: (747) 500-9405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X · Licence 16759-RAC (CA) |
|---|
Record details
| NPI number | 1588413033 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 16, 2024 |
| Last updated in NPPES | May 16, 2024 |
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