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ELA FIESTA

>> Physical Medicine & Rehabilitation >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1831709542

Individual Registrant:
 ELA  FIESTA 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
323 CAMPUS DR  ARVIN, CA 93203-1047 US
Tel: 661-854-4475  Fax: --

Contact information for business:
2804 TYLER ST  BAKERSFIELD, CA 93309-6124 US
Tel: 661-348-1443  Fax: --

Registration Information:
NPI: 1831709542
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208100000XAllopathic & Osteopathic Physicians
Physical Medicine & Rehabilitation
CA50712

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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