Individual
JIMMY FANOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 DELACY DR, JISHERLLC@GMAIL.COM, NORTH PLAINFIELD, NJ 07060-0706
(862) 250-4400
Mailing address
201 DELACY DR, JISHERLLC@GMAIL.COM, NORTH PLAINFIELD, NJ 07060-0706
(862) 250-4400
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
NA
NJ
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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