Individual
AUBREY FANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1309 KEMPSVILLE RD, NORFOLK, VA 23502-2205
(757) 461-5001
Mailing address
1309 KEMPSVILLE RD, NORFOLK, VA 23502-2205
(757) 461-5001
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
—
VA
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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