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Individual

JENNIFER ANNE FANUZZI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
2100 DAYFLOWER TRCE, CEDAR PARK, TX 78613-5700
(512) 996-9130
Mailing address
2100 DAYFLOWER TRCE, CEDAR PARK, TX 78613-5700
(512) 996-9130

Taxonomy

Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
705583
TX

Other

Enumeration date
09/09/2008
Last updated
09/09/2008
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