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Mirasol Fajardo, NP
Adult Health Nurse Practitioner in Buena Park, California
NPI 1174573448

Mirasol Fajardo is an Adult Health Nurse Practitioner based in Los Angeles, CA and is specialized in Adult Health. Mirasol Fajardo practices in Buena Park, CA and has the professional credentials of NP. The NPI Number for Mirasol Fajardo is 1174573448 and holds a License No. 15932 (California).

The current practice location address for Mirasol Fajardo is 6240 Descanso Ave, Buena Park, CA and can be reached out via phone at 714-522-9794.

Location: 6240 Descanso Ave, Buena Park, CA, 90034-4922
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174573448
Provider Name
Mirasol Fajardo
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
6240 Descanso Ave, Buena Park, CA, 90034-4922
Phone Number
714-522-9794
Fax Number
Provider Enumeration Date
05/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6240 Descanso Ave
City
Buena Park
State
California
Zip
90620-1013
Phone Number
714-522-9794
Fax Number
person
Provider Business Mailing Address Details
Address
6240 Descanso Ave
City
Buena Park
State
California
Zip
90620-1013
Phone Number
714-522-9794
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
15932 (California)
Definition
Definition to come...
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