Individual
MRS. LOUIS FANFAN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
132 CHANNING DR, BEAR, DE 19701-1254
(302) 591-8141
Mailing address
132 CHANNING DR, BEAR, DE 19701-1254
(302) 591-8141
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1713456
DE
Other
Enumeration date
05/07/2024
Last updated
06/26/2024
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