| Fix'd Inc. | |
|
68 E 11th St Ste 115 Tracy CA 95376-4089 | |
| (209) 666-7178 | |
| Not Available |
| Full Name | Fix'd Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 68 E 11th St Ste 115, Tracy, California |
| Authorized Official Name and Position | Jaime Albert Medina (PRESIDENT / CEO) |
| Authorized Official Contact | 2092079284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fix'd Inc. 68 E 11th St Ste 115 Tracy CA 95376-4089 Ph: (209) 666-7178 | Fix'd Inc. 68 E 11th St Ste 115 Tracy CA 95376-4089 Ph: (209) 666-7178 |
| NPI Number | 1891348819 |
|---|---|
| Provider Enumeration Date | 07/18/2019 |
| Last Update Date | 07/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891348819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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