Individual
MS. JANELLE ALEXANDRA FABRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
154 LOCKWOOD AVE, STAMFORD, CT 06902-5229
(203) 832-9867
Mailing address
154 LOCKWOOD AVE, STAMFORD, CT 06902-5229
(203) 832-9867
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
322788
NY
164W00000X
Licensed Practical Nurse
40549
CT
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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