Lafayette Webster III

NPI 1790106847 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1790106847
Gender Male
Enumeration Date 12/16/2013
Last Updated 12/16/2013
Entity Type Individual
Active Over 2 years ago
Practice Location
258 N BLACKSTONE AVE
FRESNO CA, 93701-1913, US
Phone (559) 274-0299
Fax (559) 244-0328
Business Location
258 N BLACKSTONE AVE
FRESNO CA, 93701-1913, US
Phone (559) 374-0299
Fax (559) 244-0328
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Lafayette Webster III NPI is 1790106847, taxonomy code is 171M00000X Lafayette Webster III physically located at 258 N Blackstone Ave, Fresno CA, 93701-1913. NPI Number Lafayette Webster III has the Individual type.

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1790106847 NPI number is provided on an as is basis without warranty of any kind. 1790106847 is maintained by the National Plan & Provider Enumeration System. The contents of Lafayette Webster III are for informational purposes only.