Mr. Eugenio Fajardo Reyes
Mr. Eugenio Fajardo Reyes is an Intellectual Disabilities Intermediate Care Facility in Lodi, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2008
Practice location Address checks out
3261 W Sargent RdLodi, CA 95242-9212
Phone: (925) 963-7957
Fax: (209) 369-7010
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Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence PENDING (CA) |
|---|
Record details
| NPI number | 1619132198 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 23, 2008 |
| Last updated in NPPES | July 23, 2008 |
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