Individual
DENIEL FAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6114 VEVEY LN, FORT MILL, SC 29707-8632
(570) 713-9610
Mailing address
6114 VEVEY LN, FORT MILL, SC 29707-8632
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
234544
SC
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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