Individual
GRETA FANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18325 CRYSTAL DR, MORGAN HILL, CA 95037-9450
(408) 398-4149
Mailing address
18325 CRYSTAL DR, MORGAN HILL, CA 95037-9450
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14306
CA
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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