| 716 Establishment | |
|
301 Daphne Dr Fairfield CA 94533-1114 | |
| (707) 689-1774 | |
| Not Available |
| Full Name | 716 Establishment |
|---|---|
| Speciality | Social Worker |
| Location | 301 Daphne Dr, Fairfield, California |
| Authorized Official Name and Position | Salina Smith (COO) |
| Authorized Official Contact | 7076891774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 716 Establishment 1210 Gulf Dr Fairfield CA 94533-7099 Ph: (707) 689-1774 | 716 Establishment 301 Daphne Dr Fairfield CA 94533-1114 Ph: (707) 689-1774 |
| NPI Number | 1205636685 |
|---|---|
| Provider Enumeration Date | 03/15/2025 |
| Last Update Date | 03/15/2025 |
| Certification Date | 03/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205636685 | NPI | - | NPPES |
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