Fada, Jessica Rae

Fada, Jessica Rae is an individual health care provider with primary practice located at 15662 K St , Mojave CA 93501-1826. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Fada, Jessica Rae can be contacted via phone (661) 824-4118.

Contact Information

Primary practice address
15662 K St Mojave CA 93501-1826
Fax: (661) 824-4150
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1053596056
LBN Legal business name Fada, Jessica Rae
Credentials OTHER
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2008
Last updated Jan 8th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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