Individual
MARTINE FABIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2721 ANNEEWAKEE FALLS PKWY, DOUGLASVILLE, GA 30135-8905
(978) 902-4684
Mailing address
2721 ANNEEWAKEE FALLS PKWY, DOUGLASVILLE, GA 30135-8905
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN073153
GA
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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