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NPI Code Detail

MEDICARE: MARIA MONTOYA TRUJILLO

MEDICARE: MARIA MONTOYA TRUJILLO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist79640CA
2106H00000XMarriage & Family TherapistAMFT122903CA

General Provider Information

NPI Number : 1538589668
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA MONTOYA TRUJILLO
Provider Business Mailing Address
First Line : 3451 W SHAW AVE STE 102
Second Line :
City : FRESNO
State : CA
Zip : 93711-3242
Country : US
Telephone Number : 559-260-6754
Fax Number :
Provider Business Practice Location Address
First Line : 3451 W SHAW AVE STE 102
Second Line :
City : FRESNO
State : CA
Zip : 93711-3242
Country : US
Telephone Number : 559-260-6754
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2014
Last Update Date : 02/27/2023

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Directions to “ MARIA MONTOYA TRUJILLO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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