Individual
MICHELLE P FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2821 W. CHARLESTON BOULEVARD, C23, LAS VEGAS, NV 89102
(702) 437-4673
Mailing address
2820 W. CHARLESTON BLVD, C23, LAS VEGAS, NV 89102
(702) 564-6538
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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