Individual
MRS. REBECCA H FANGUY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
590 FERN AVE NE, PALM BAY, FL 32907-2633
(321) 725-7100
Mailing address
590 FERN AVE NE, PALM BAY, FL 32907-2633
(321) 725-7100
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
1549282
FL
Other
Enumeration date
03/27/2006
Last updated
07/08/2007
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