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Individual

HANAAH FANNIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2659 GATEWAY RD STE 106, CARLSBAD, CA 92009-1760
(760) 671-2220
Mailing address
2659 GATEWAY RD STE 106, CARLSBAD, CA 92009-1760
(760) 671-2220

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
59073
CA

Other

Enumeration date
10/11/2019
Last updated
11/16/2022
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