Individual
KRISTIN FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 ALLEGHENY ST, JERSEY SHORE, PA 17740-1116
(570) 398-7757
Mailing address
102 W PARK ST, AVIS, PA 17721-9105
(570) 651-5101
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
01/16/2021
Last updated
01/16/2021
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