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NPI Code Detail

MEDICARE: MRS. FERN BINSOL WISSEL ASW

MEDICARE:  MRS. FERN BINSOL WISSEL  ASW
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
1104100000XSocial Worker19003CA

General Provider Information

NPI Number : 1912034067
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. FERN BINSOL WISSEL ASW
Provider Business Mailing Address
First Line : 1270 NATIVIDAD RD RM 200
Second Line :
City : SALINAS
State : CA
Zip : 93906-3122
Country : US
Telephone Number : 831-444-3513
Fax Number :
Provider Business Practice Location Address
First Line : 1270 NATIVIDAD RD RM 200
Second Line :
City : SALINAS
State : CA
Zip : 93906-3122
Country : US
Telephone Number : 831-444-3513
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. FERN BINSOL WISSEL ASW” Practice Location

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