Individual
WENDY ANN FAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
136 JAMES CIR, MASHPEE, MA 02649-4915
(508) 274-6899
Mailing address
136 JAMES CIR, MASHPEE, MA 02649-4915
(508) 274-6899
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
235642
MA
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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