Individual
FANNY MARZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1708 SW 7TH DR, POMPANO BEACH, FL 33060-8921
(561) 674-2580
Mailing address
1708 SW 7TH DR, POMPANO BEACH, FL 33060-8921
(561) 674-2580
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OTA 10645
FL
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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