Individual
MABLE FASANYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1019 S MAIN ST, DUNCANVILLE, TX 75137-2319
(972) 572-5522
(972) 572-5577
Mailing address
1019 S MAIN ST, DUNCANVILLE, TX 75137-2319
(972) 572-5522
(972) 572-5577
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
129024
TX
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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