Individual
JOYCE FANCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1051 NATIONAL AVE APT 333, SAN BRUNO, CA 94066-5832
(650) 464-6689
Mailing address
1051 NATIONAL AVENUE. #333, SAN BRUNO, CA 94066
(650) 464-6689
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
224155 1829
CA
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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