| Adnawal Inc | |
|
1718 Vermont St Fairfield CA 94533-4534 | |
| (510) 593-5367 | |
| Not Available |
| Full Name | Adnawal Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1718 Vermont St, Fairfield, California |
| Authorized Official Name and Position | Lawanda Marrero (CLINICIAN DIRECTOR) |
| Authorized Official Contact | 5105935367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adnawal Inc 1718 Vermont St Fairfield CA 94533-4534 Ph: (510) 593-5367 | Adnawal Inc 1718 Vermont St Fairfield CA 94533-4534 Ph: (510) 593-5367 |
| NPI Number | 1811774540 |
|---|---|
| Provider Enumeration Date | 09/14/2023 |
| Last Update Date | 09/14/2023 |
| Certification Date | 09/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811774540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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