Individual
MARIE BETTY FANFAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5381 NW 41ST WAY, COCONUT CREEK, FL 33073-5028
(203) 820-7700
Mailing address
5381 NW 41ST WAY, COCONUT CREEK, FL 33073-5028
(203) 820-7700
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN9455266
FL
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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