person
Stephanie Fukawa, DMD
Student in an Organized Health Care Education/Training Program in Los Angeles, California
NPI 1578212346

Stephanie Fukawa is a Student in an Organized Health Care Education/Training Program based in San Jose, CA. Stephanie Fukawa practices in Los Angeles, CA and has the professional credentials of DMD. The NPI Number for Stephanie Fukawa is 1578212346 and holds a License No. (California).

The current practice location address for Stephanie Fukawa is 2051 Marengo St, Los Angeles, CA and can be reached out via phone at 408-316-5808.

Location: 2051 Marengo St, Los Angeles, CA, 95128-4831
person
Provider Profile Details
NPI Number
1578212346
Provider Name
Stephanie Fukawa
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
2051 Marengo St, Los Angeles, CA, 95128-4831
Phone Number
408-316-5808
Fax Number
Provider Enumeration Date
03/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2051 Marengo St
City
State
Zip
90033-1352
Phone Number
408-316-5808
Fax Number
person
Provider Business Mailing Address Details
Address
2051 Marengo St
City
State
Zip
90033-1352
Phone Number
408-316-5808
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
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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