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Miss Simone Genevieve Fauquet, PSSSTUDENT
Student in an Organized Health Care Education/Training Program in Arroyo Grande, California
NPI 1578072336

Simone Genevieve Fauquet is a Student in an Organized Health Care Education/Training Program based in Arroyo Grande, CA. Simone Genevieve Fauquet practices in Arroyo Grande, CA and has the professional credentials of PSSSTUDENT. The NPI Number for Simone Genevieve Fauquet is 1578072336 and holds a License No. BL17-000035 (California).

The current practice location address for Simone Genevieve Fauquet is 621 E Grand Ave, Arroyo Grande, CA and can be reached out via phone at 805-202-3440 and via fax at 805-202-3441.

Location: 621 E Grand Ave, Arroyo Grande, CA, 93420-3241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578072336
Provider Name
Simone Genevieve Fauquet
Credential
PSSSTUDENT
Provider Entity Type
Individual
Gender
Female
Address
621 E Grand Ave, Arroyo Grande, CA, 93420-3241
Phone Number
805-202-3440
Fax Number
805-202-3441
Provider Enumeration Date
09/25/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1831541986 01 CA ADDICTION MEDICINE
institution
Provider Business Practice Location Address Details
Address
621 E Grand Ave
City
Arroyo Grande
State
California
Zip
93420-3241
Phone Number
805-202-3440
Fax Number
805-202-3441
person
Provider Business Mailing Address Details
Address
621 E Grand Ave
City
Arroyo Grande
State
California
Zip
93420-3241
Phone Number
805-202-3440
Fax Number
805-202-3441
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
BL17-000035 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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