Individual
MS. FANNY VANESSA GIRON GALEANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
107 COMMERCIAL ST, MASHPEE, MA 02649-6507
(508) 477-7090
Mailing address
107 COMMERCIAL ST, MASHPEE, MA 02649-6507
(508) 477-7090
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125072948
IL
390200000X
Student in an Organized Health Care Education/Training Program
125-072948
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2018
Last updated
06/17/2021
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