Individual
MS. AUDREY LEE FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
100 N ACADEMY AVE, MC 26-20, DANVILLE, PA 17822-1334
(570) 214-2192
(570) 214-7342
Mailing address
100 N ACADEMY AVE, MC 26-20, DANVILLE, PA 17822-1334
(570) 214-2192
(570) 214-7342
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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