Individual
LISA AMY FASCENDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
5112 VICTORIA CIR, WEST PALM BEACH, FL 33409-7846
(561) 471-1635
Mailing address
5112 VICTORIA CIR, WEST PALM BEACH, FL 33409-7846
(561) 471-1635
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN9195984
FL
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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