Individual
MS. DARLA LYNN FASTELIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20356 ABERDEEN DR, BEND, OR 97702-9812
(541) 312-9436
Mailing address
20356 ABERDEEN DR, BEND, OR 97702-9812
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
OR
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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