Individual
AMBER FANNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 W NORTH ST, SPRINGFIELD, OH 45504-2729
(937) 360-5058
Mailing address
901 W NORTH ST, SPRINGFIELD, OH 45504-2729
(937) 360-5058
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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