Individual
MERCEDES SIERRA FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 PUEBLO, SATANTA, KS 67870-7012
(620) 675-5376
Mailing address
PO BOX 244, SUBLETTE, KS 67877-0244
(620) 675-5376
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/31/2021
Last updated
04/30/2025
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