Individual
BETHAN CLARE FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1451 BELLE HAVEN RD STE 110, ALEXANDRIA, VA 22307-1201
(703) 765-6093
Mailing address
1451 BELLE HAVEN RD STE 110, ALEXANDRIA, VA 22307-1201
(703) 765-6093
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101275377
VA
Other
Enumeration date
03/28/2019
Last updated
07/19/2022
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