Individual
ELLEN LONG FABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BLUE HERON DR, LEWES, DE 19958-2309
(302) 542-6770
Mailing address
1 BLUE HERON DR, LEWES, DE 19958-2309
(302) 542-6770
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
L1-0029698
DE
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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