The holder whose full name is Fajardo, Alyssa Danielle,come from Indianapolis IN,hold the CSR-Physician license(NO.01068143B) which status is Active.
| Name | Fajardo, Alyssa Danielle |
|---|---|
| License Number | 01068143B |
| License Type | CSR-Physician |
| License Status | Active |
| City | Indianapolis |
| State | IN |