Individual
CHRISTELLE FANFAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 ALBEMARLE RD, APT A9, BROOKLYN, NY 11226-8037
(347) 833-6361
Mailing address
1800 ALBEMARLE RD, APT A9, BROOKLYN, NY 11226-8037
(347) 833-6361
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
316504
NY
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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