Individual
MA LOURDES FABELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5118 WEDGE CT E, BRADENTON, FL 34203
(361) 288-5177
Mailing address
5118 WEDGE CT E, BRADENTON, FL 34203
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
9341324
FL
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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